Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,224.00 / $11,453.00	Facility		$767.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.91 / $732.46 / $1,246.05	Professional		$640.91	$732.46	$1,246.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,640.75 / $9,032.74 / $17,826.21	Facility		$4,640.75	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.23 / $845.82 / $1,152.58	Professional		$668.23	$845.82	$1,152.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $660.43 / $671.18	Facility		$80.00	$660.43	$671.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.71 / $821.71 / $821.71	Facility		$821.71	$821.71	$821.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $968.90 / $1,474.96	Professional		$699.14	$968.90	$1,474.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,713.68 / $19,913.50 / $26,542.00	Facility		$2,713.68	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,987.91 / $6,185.51 / $6,245.55	Professional		$5,987.91	$6,185.51	$6,245.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.83 / $959.20 / $1,482.12	Facility		$707.83	$959.20	$1,482.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $893.16 / $1,071.80 / $1,329.03	Professional		$893.16	$1,071.80	$1,329.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.50 / $1,145.50 / $1,145.50	Professional		$1,145.50	$1,145.50	$1,145.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.83 / $960.41 / $1,580.05	Facility		$707.83	$960.41	$1,580.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.99 / $1,012.93 / $1,500.69	Professional		$703.99	$1,012.93	$1,500.69
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 $561.58 / $784.07 / $1,272.45	Professional		$561.58	$784.07	$1,272.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $609.83 / $691.84 / $961.83	Professional		$609.83	$691.84	$961.83