Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,682.00 / $12,281.00	Facility		$788.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.91 / $730.34 / $1,240.26	Professional		$639.91	$730.34	$1,240.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.96 / $1,208.68 / $5,556.98	Facility		$719.96	$1,208.68	$5,556.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.16 / $841.93 / $1,147.28	Professional		$665.16	$841.93	$1,147.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $652.16 / $661.50	Facility		$80.00	$652.16	$661.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $823.20 / $823.20	Facility		$823.20	$823.20	$823.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.58 / $970.08 / $1,475.69	Professional		$724.58	$970.08	$1,475.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,689.04	Facility		$55.00	$55.00	$3,689.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,488.46 / $5,669.58 / $6,249.15	Professional		$5,488.46	$5,669.58	$6,249.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $709.71 / $959.34 / $1,487.32	Facility		$709.71	$959.34	$1,487.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $894.79 / $1,073.75 / $1,331.44	Professional		$894.79	$1,073.75	$1,331.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.03 / $1,358.48 / $2,724.36	Professional		$1,181.03	$1,358.48	$2,724.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.71 / $964.68 / $1,493.60	Facility		$709.71	$964.68	$1,493.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $730.00 / $1,020.28 / $1,497.54	Professional		$730.00	$1,020.28	$1,497.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.54 / $773.85 / $1,225.89	Professional		$559.54	$773.85	$1,225.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $610.94 / $692.88 / $964.08	Professional		$610.94	$692.88	$964.08