Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,224.00 / $11,453.00	Facility		$788.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.00 / $783.51 / $1,332.06	Professional		$694.00	$783.51	$1,332.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.74 / $9,272.02 / $18,185.13	Facility		$4,725.74	$9,272.02	$18,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.40 / $904.26 / $1,232.22	Professional		$714.40	$904.26	$1,232.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $701.85 / $714.33	Facility		$80.00	$701.85	$714.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.51 / $877.51 / $877.51	Facility		$877.51	$877.51	$877.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.48 / $1,049.23 / $1,599.55	Professional		$785.48	$1,049.23	$1,599.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,898.96 / $19,913.50 / $26,542.00	Facility		$2,898.96	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,555.30 / $6,669.15 / $6,771.63	Professional		$6,555.30	$6,669.15	$6,771.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $757.71 / $1,064.14 / $1,624.26	Facility		$757.71	$1,064.14	$1,624.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $953.81 / $1,144.58 / $1,419.27	Professional		$953.81	$1,144.58	$1,419.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $850.30 / $1,292.58 / $2,806.72	Professional		$850.30	$1,292.58	$2,806.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.28 / $1,068.07 / $1,694.44	Facility		$759.28	$1,068.07	$1,694.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $792.11 / $1,106.20 / $1,634.41	Professional		$792.11	$1,106.20	$1,634.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.19 / $840.83 / $1,341.68	Professional		$628.19	$840.83	$1,341.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $651.24 / $739.31 / $1,026.88	Professional		$651.24	$739.31	$1,026.88