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 / $10,836.00	Facility		$788.00	$3,224.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.14 / $622.36 / $1,068.04	Professional		$520.14	$622.36	$1,068.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,573.19 / $4,379.92 / $8,431.35	Facility		$2,573.19	$4,379.92	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.59 / $728.55 / $992.78	Professional		$575.59	$728.55	$992.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $573.76 / $581.73	Facility		$80.00	$573.76	$581.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.38 / $709.38 / $709.38	Facility		$709.38	$709.38	$709.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.84 / $823.16 / $1,237.89	Professional		$589.84	$823.16	$1,237.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,341.60 / $11,500.00 / $26,542.00	Facility		$2,341.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,946.76 / $5,110.01 / $5,392.95	Professional		$4,946.76	$5,110.01	$5,392.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $798.48 / $1,262.43	Facility		$600.00	$798.48	$1,262.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $723.57 / $925.28 / $1,147.33	Professional		$723.57	$925.28	$1,147.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $917.50 / $917.50 / $917.50	Professional		$917.50	$917.50	$917.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $798.48 / $1,343.85	Facility		$600.00	$798.48	$1,343.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $596.66 / $851.89 / $1,293.94	Professional		$596.66	$851.89	$1,293.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.00 / $6,591.00 / $13,237.00	Facility		$2,182.00	$6,591.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.77 / $642.03 / $1,034.06	Professional		$479.77	$642.03	$1,034.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.46 / $596.66 / $830.61	Professional		$526.46	$596.66	$830.61