Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,224.00 / $11,453.00	Facility		$759.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $612.59 / $1,036.98	Professional		$540.58	$612.59	$1,036.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.69 / $4,325.17 / $8,431.35	Facility		$2,463.69	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.96 / $707.51 / $964.11	Professional		$558.96	$707.51	$964.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $558.35 / $565.82	Facility		$80.00	$558.35	$565.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $688.92	Facility		$688.92	$688.92	$688.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.30 / $813.96 / $1,255.47	Professional		$612.30	$813.96	$1,255.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,273.71 / $11,500.00 / $26,542.00	Facility		$2,273.71	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,236.95 / $5,297.48 / $5,472.30	Professional		$5,236.95	$5,297.48	$5,472.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.85 / $839.57 / $1,311.62	Facility		$595.85	$839.57	$1,311.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $748.83 / $898.59 / $1,114.25	Professional		$748.83	$898.59	$1,114.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $988.20 / $988.20 / $988.20	Professional		$988.20	$988.20	$988.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.85 / $847.23 / $1,345.12	Facility		$595.85	$847.23	$1,345.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $618.14 / $860.56 / $1,264.66	Professional		$618.14	$860.56	$1,264.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,600.00	Facility		$1,634.00	$4,166.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.04 / $653.29 / $1,054.22	Professional		$481.04	$653.29	$1,054.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $511.28 / $579.32 / $806.77	Professional		$511.28	$579.32	$806.77