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 $635.74 / $747.90 / $1,220.02	Professional		$635.74	$747.90	$1,220.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $698.87 / $1,223.02 / $7,825.89	Facility		$698.87	$1,223.02	$7,825.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.29 / $860.63 / $1,172.76	Professional		$675.29	$860.63	$1,172.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $677.64 / $685.37	Facility		$80.00	$677.64	$685.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.01 / $831.01 / $831.01	Facility		$831.01	$831.01	$831.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.18 / $949.13 / $1,444.28	Professional		$708.18	$949.13	$1,444.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,742.67	Facility		$55.00	$55.00	$3,742.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,300.88 / $5,425.44 / $6,320.33	Professional		$5,300.88	$5,425.44	$6,320.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $698.28 / $876.40 / $1,333.15	Facility		$698.28	$876.40	$1,333.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $903.28 / $1,083.93 / $1,344.07	Professional		$903.28	$1,083.93	$1,344.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.34 / $1,396.56 / $2,749.71	Professional		$1,205.34	$1,396.56	$2,749.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.28 / $878.52 / $1,370.48	Facility		$698.28	$878.52	$1,370.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $714.40 / $974.61 / $1,475.31	Professional		$714.40	$974.61	$1,475.31
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 $557.30 / $761.18 / $1,182.24	Professional		$557.30	$761.18	$1,182.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.73 / $698.28 / $973.32	Professional		$616.73	$698.28	$973.32