Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,826.00	Facility		$916.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.47 / $798.30 / $1,351.24	Professional		$699.47	$798.30	$1,351.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.33 / $4,489.42 / $9,126.04	Facility		$2,592.33	$4,489.42	$9,126.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.33 / $920.62 / $1,254.52	Professional		$727.33	$920.62	$1,254.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $716.42 / $729.04	Facility		$80.00	$716.42	$729.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.11 / $896.11 / $896.11	Facility		$896.11	$896.11	$896.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.26 / $1,043.50 / $1,603.03	Professional		$777.26	$1,043.50	$1,603.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,957.00	Facility		$55.00	$55.00	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,714.40 / $5,824.16 / $6,813.60	Professional		$5,714.40	$5,824.16	$6,813.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $755.83 / $945.35 / $1,469.30	Facility		$755.83	$945.35	$1,469.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $974.04 / $1,168.84 / $1,449.37	Professional		$974.04	$1,168.84	$1,449.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.59 / $1,481.72 / $2,963.19	Professional		$1,278.59	$1,481.72	$2,963.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.29 / $950.77 / $1,518.80	Facility		$760.29	$950.77	$1,518.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.37 / $1,082.57 / $1,636.90	Professional		$800.37	$1,082.57	$1,636.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.07 / $841.37 / $1,351.31	Professional		$613.07	$841.37	$1,351.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $665.05 / $754.88 / $1,048.56	Professional		$665.05	$754.88	$1,048.56