Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.98 / $3,224.00 / $11,453.00	Facility		$778.98	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.75 / $752.89 / $1,273.58	Professional		$666.75	$752.89	$1,273.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,612.00 / $17,256.03 / $35,940.14	Facility		$6,612.00	$17,256.03	$35,940.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.39 / $868.81 / $1,183.91	Professional		$686.39	$868.81	$1,183.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $676.29 / $687.95	Facility		$80.00	$676.29	$687.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $844.78 / $844.78 / $844.78	Facility		$844.78	$844.78	$844.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.95 / $1,006.86 / $1,536.31	Professional		$754.95	$1,006.86	$1,536.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,790.80 / $26,542.00 / $47,686.95	Facility		$2,790.80	$26,542.00	$47,686.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,188.07 / $6,392.27 / $6,423.75	Professional		$6,188.07	$6,392.27	$6,423.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $729.38 / $1,016.31 / $1,567.52	Facility		$729.38	$1,016.31	$1,567.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $918.24 / $1,101.89 / $1,366.34	Professional		$918.24	$1,101.89	$1,366.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,194.90 / $1,194.90 / $1,194.90	Professional		$1,194.90	$1,194.90	$1,194.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $729.38 / $1,018.60 / $1,626.56	Facility		$729.38	$1,018.60	$1,626.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $761.75 / $1,061.22 / $1,568.12	Professional		$761.75	$1,061.22	$1,568.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,499.00	Facility		$2,093.00	$6,002.00	$13,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.40 / $807.90 / $1,308.03	Professional		$602.40	$807.90	$1,308.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $626.95 / $711.50 / $988.55	Professional		$626.95	$711.50	$988.55