Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $2,244.00 / $7,513.00	Facility		$647.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.21 / $732.96 / $1,239.22	Professional		$642.21	$732.96	$1,239.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,126.56 / $8,431.35	Facility		$2,354.21	$4,126.56	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.54 / $846.21 / $1,153.11	Professional		$668.54	$846.21	$1,153.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $659.26 / $670.36	Facility		$80.00	$659.26	$670.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $822.09 / $822.09 / $822.09	Facility		$822.09	$822.09	$822.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.60 / $959.24 / $1,476.64	Professional		$712.60	$959.24	$1,476.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,751.67 / $11,500.00 / $12,000.00	Facility		$4,751.67	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,256.07 / $5,349.76 / $6,248.55	Professional		$5,256.07	$5,349.76	$6,248.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $684.09 / $871.69 / $1,379.67	Facility		$684.09	$871.69	$1,379.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $893.58 / $1,072.29 / $1,329.64	Professional		$893.58	$1,072.29	$1,329.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.50 / $1,012.50 / $1,012.50	Professional		$1,012.50	$1,012.50	$1,012.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.31 / $882.29 / $1,456.18	Facility		$684.31	$882.29	$1,456.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.12 / $994.77 / $1,495.16	Professional		$733.12	$994.77	$1,495.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,231.00 / $10,476.00	Facility		$1,693.00	$5,231.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.19 / $785.20 / $1,233.35	Professional		$562.19	$785.20	$1,233.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $610.11 / $692.30 / $962.17	Professional		$610.11	$692.30	$962.17