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 $627.03 / $715.64 / $1,208.41	Professional		$627.03	$715.64	$1,208.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.91 / $825.17 / $1,124.45	Professional		$651.91	$825.17	$1,124.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $642.40 / $653.26	Facility		$80.00	$642.40	$653.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.63 / $801.63 / $801.63	Facility		$801.63	$801.63	$801.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.66 / $951.26 / $1,457.05	Professional		$717.66	$951.26	$1,457.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,577.65	Facility		$55.00	$55.00	$3,577.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,337.89 / $5,514.04 / $6,093.90	Professional		$5,337.89	$5,514.04	$6,093.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.22 / $945.39 / $1,466.85	Facility		$692.22	$945.39	$1,466.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $871.34 / $1,045.60 / $1,296.55	Professional		$871.34	$1,045.60	$1,296.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.08 / $1,335.95 / $2,651.20	Professional		$1,159.08	$1,335.95	$2,651.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.22 / $946.80 / $1,483.00	Facility		$692.22	$946.80	$1,483.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $723.52 / $1,004.71 / $1,486.36	Professional		$723.52	$1,004.71	$1,486.36
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 $550.53 / $764.77 / $1,205.88	Professional		$550.53	$764.77	$1,205.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $594.92 / $675.09 / $938.18	Professional		$594.92	$675.09	$938.18