Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $3,682.00 / $12,281.00	Facility		$799.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.71 / $787.17 / $1,295.60	Professional		$689.71	$787.17	$1,295.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $765.83 / $1,315.07 / $5,572.00	Facility		$765.83	$1,315.07	$5,572.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.98 / $891.08 / $1,236.47	Professional		$711.98	$891.08	$1,236.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $703.32 / $716.36	Facility		$80.00	$703.32	$716.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.60 / $881.60 / $881.60	Facility		$881.60	$881.60	$881.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.20 / $1,032.40 / $1,576.62	Professional		$767.20	$1,032.40	$1,576.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,251.35	Facility		$55.00	$55.00	$6,251.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,622.08 / $5,732.88 / $6,702.53	Professional		$5,622.08	$5,732.88	$6,702.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $742.93 / $939.62 / $1,444.46	Facility		$742.93	$939.62	$1,444.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $958.26 / $1,149.92 / $1,425.89	Professional		$958.26	$1,149.92	$1,425.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $979.76 / $1,024.00 / $1,280.85	Professional		$979.76	$1,024.00	$1,280.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.68 / $958.10 / $1,484.36	Facility		$749.68	$958.10	$1,484.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $786.89 / $1,062.50 / $1,601.19	Professional		$786.89	$1,062.50	$1,601.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.22 / $829.01 / $1,317.47	Professional		$605.22	$829.01	$1,317.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $654.28 / $742.93 / $1,031.45	Professional		$654.28	$742.93	$1,031.45