Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $3,682.00 / $12,377.00	Facility		$893.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.98 / $674.62 / $1,131.86	Professional		$581.98	$674.62	$1,131.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $8,972.92 / $17,826.21	Facility		$4,307.00	$8,972.92	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $764.57 / $1,072.42	Professional		$617.51	$764.57	$1,072.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $663.53 / $663.53	Facility		$80.00	$663.53	$663.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.05 / $781.05 / $781.05	Facility		$781.05	$781.05	$781.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.69 / $838.41 / $1,304.10	Professional		$636.69	$838.41	$1,304.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.56 / $19,913.50 / $26,542.00	Facility		$2,550.56	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,955.76 / $5,124.56 / $5,897.40	Professional		$4,955.76	$5,124.56	$5,897.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.62 / $824.54 / $1,280.60	Facility		$634.62	$824.54	$1,280.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $843.03 / $1,011.63 / $1,254.42	Professional		$843.03	$1,011.63	$1,254.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $675.25 / $1,168.81 / $2,565.21	Professional		$675.25	$1,168.81	$2,565.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $638.79 / $824.80 / $1,325.57	Facility		$638.79	$824.80	$1,325.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.42 / $876.09 / $1,350.05	Professional		$655.42	$876.09	$1,350.05
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 $499.40 / $675.29 / $1,077.53	Professional		$499.40	$675.29	$1,077.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $647.79 / $910.76	Professional		$575.60	$647.79	$910.76