Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,783.00 / $7,542.00	Facility		$669.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.70 / $641.64 / $1,021.58	Professional		$528.70	$641.64	$1,021.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.51 / $2,155.07 / $4,503.00	Facility		$1,260.51	$2,155.07	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.04 / $741.80 / $1,010.83	Professional		$586.04	$741.80	$1,010.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $585.85 / $594.21	Facility		$80.00	$585.85	$594.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.51 / $723.51 / $723.51	Facility		$723.51	$723.51	$723.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $809.39 / $1,247.47	Professional		$589.91	$809.39	$1,247.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,388.56 / $11,500.00 / $16,394.00	Facility		$2,388.56	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,852.00 / $4,852.00 / $5,500.80	Professional		$4,852.00	$4,852.00	$5,500.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $523.29 / $677.66 / $1,148.53	Facility		$523.29	$677.66	$1,148.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $786.43 / $943.71 / $1,170.20	Professional		$786.43	$943.71	$1,170.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $654.92 / $1,071.26 / $2,331.23	Professional		$654.92	$1,071.26	$2,331.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.29 / $683.04 / $1,203.73	Facility		$523.29	$683.04	$1,203.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.67 / $841.69 / $1,308.31	Professional		$608.67	$841.69	$1,308.31
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $656.47 / $1,017.53	Professional		$492.35	$656.47	$1,017.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $536.95 / $608.67 / $847.08	Professional		$536.95	$608.67	$847.08