Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.10 / $3,224.00 / $11,453.00	Facility		$759.10	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.32 / $618.95 / $1,045.22	Professional		$542.32	$618.95	$1,045.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $9,032.74 / $17,826.21	Facility		$4,307.00	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.89 / $713.75 / $972.61	Professional		$563.89	$713.75	$972.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $560.21 / $568.15	Facility		$80.00	$560.21	$568.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.13 / $694.13 / $694.13	Facility		$694.13	$694.13	$694.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.05 / $806.00 / $1,240.25	Professional		$601.05	$806.00	$1,240.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,291.52 / $19,913.50 / $26,542.00	Facility		$2,291.52	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,231.39 / $5,277.83 / $5,404.02	Professional		$5,231.39	$5,277.83	$5,404.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.69 / $755.54 / $1,204.36	Facility		$588.69	$755.54	$1,204.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $754.49 / $905.39 / $1,122.68	Professional		$754.49	$905.39	$1,122.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $644.27 / $990.60 / $1,100.99	Professional		$644.27	$990.60	$1,100.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.79 / $759.10 / $1,236.35	Facility		$588.79	$759.10	$1,236.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.23 / $829.50 / $1,263.36	Professional		$615.23	$829.50	$1,263.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.18 / $631.92 / $1,012.20	Professional		$477.18	$631.92	$1,012.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $515.15 / $583.91 / $812.67	Professional		$515.15	$583.91	$812.67