Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,420.00 / $10,893.00	Facility		$748.00	$3,420.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.86 / $635.41 / $1,007.38	Professional		$524.86	$635.41	$1,007.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.23 / $4,516.79 / $8,787.20	Facility		$2,587.23	$4,516.79	$8,787.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.24 / $721.20 / $1,000.75	Professional		$576.24	$721.20	$1,000.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $576.15 / $584.38	Facility		$80.00	$576.15	$584.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $713.47 / $713.47	Facility		$713.47	$713.47	$713.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.00 / $831.18 / $1,281.32	Professional		$618.00	$831.18	$1,281.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,355.48 / $11,500.00 / $26,542.00	Facility		$2,355.48	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,551.04 / $4,644.16 / $5,424.98	Professional		$4,551.04	$4,644.16	$5,424.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $605.16 / $780.29 / $1,197.42	Facility		$605.16	$780.29	$1,197.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $775.51 / $930.62 / $1,153.96	Professional		$775.51	$930.62	$1,153.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $662.51 / $1,078.40 / $2,309.50	Professional		$662.51	$1,078.40	$2,309.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.52 / $788.46 / $1,232.84	Facility		$606.52	$788.46	$1,232.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $855.89 / $1,305.84	Professional		$636.29	$855.89	$1,305.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.21 / $649.61 / $1,031.44	Professional		$487.21	$649.61	$1,031.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $529.50 / $600.22 / $835.30	Professional		$529.50	$600.22	$835.30