Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.03 / $3,682.00 / $12,281.00	Facility		$799.03	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.73 / $812.13 / $1,332.10	Professional		$689.73	$812.13	$1,332.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,380.71 / $4,434.67 / $8,332.46	Facility		$2,380.71	$4,434.67	$8,332.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.72 / $945.17 / $1,279.36	Professional		$746.72	$945.17	$1,279.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $757.22 / $758.97	Facility		$80.00	$757.22	$758.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.09 / $904.09 / $904.09	Facility		$904.09	$904.09	$904.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.92 / $990.74 / $1,502.00	Professional		$751.92	$990.74	$1,502.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,957.00	Facility		$55.00	$55.00	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,738.72 / $5,927.92 / $6,829.28	Professional		$5,738.72	$5,927.92	$6,829.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $748.69 / $935.09 / $1,437.66	Facility		$748.69	$935.09	$1,437.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $976.46 / $1,171.76 / $1,452.98	Professional		$976.46	$1,171.76	$1,452.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.86 / $1,539.22 / $2,976.37	Professional		$1,315.86	$1,539.22	$2,976.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.92 / $940.10 / $1,457.70	Facility		$751.92	$940.10	$1,457.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $772.19 / $1,031.29 / $1,585.19	Professional		$772.19	$1,031.29	$1,585.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.54 / $798.30 / $1,262.09	Professional		$578.54	$798.30	$1,262.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $666.71 / $751.92 / $1,054.05	Professional		$666.71	$751.92	$1,054.05