Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $3,224.00 / $11,453.00	Facility		$790.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.58 / $809.83 / $1,277.20	Professional		$691.58	$809.83	$1,277.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,431.35	Facility		$2,436.33	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.93 / $918.62 / $1,288.49	Professional		$741.93	$918.62	$1,288.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $763.08 / $763.08	Facility		$80.00	$763.08	$763.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.97 / $902.97 / $902.97	Facility		$902.97	$902.97	$902.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.25 / $1,013.12 / $1,569.81	Professional		$765.25	$1,013.12	$1,569.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,950.44 / $11,500.00 / $26,542.00	Facility		$2,950.44	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,729.84 / $5,922.40 / $6,819.38	Professional		$5,729.84	$5,922.40	$6,819.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $755.44 / $996.74 / $1,540.57	Facility		$755.44	$996.74	$1,540.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $974.84 / $1,169.81 / $1,450.56	Professional		$974.84	$1,169.81	$1,450.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $778.98 / $1,348.44 / $2,951.15	Professional		$778.98	$1,348.44	$2,951.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $764.60 / $999.15 / $1,555.39	Facility		$764.60	$999.15	$1,555.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $773.98 / $1,044.58 / $1,601.00	Professional		$773.98	$1,044.58	$1,601.00
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 $606.41 / $820.01 / $1,288.24	Professional		$606.41	$820.01	$1,288.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $665.60 / $749.61 / $1,052.86	Professional		$665.60	$749.61	$1,052.86