Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,224.00 / $11,453.00	Facility		$759.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.80 / $611.53 / $1,033.90	Professional		$535.80	$611.53	$1,033.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,486.46 / $9,391.66 / $17,826.21	Facility		$4,486.46	$9,391.66	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.63 / $736.76 / $1,163.77	Professional		$560.63	$736.76	$1,163.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $555.26 / $563.01	Facility		$80.00	$555.26	$563.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.69 / $686.69 / $686.69	Facility		$686.69	$686.69	$686.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.48 / $794.11 / $1,203.53	Professional		$593.48	$794.11	$1,203.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,833.25 / $19,913.50 / $26,542.00	Facility		$2,833.25	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,382.16 / $4,470.47 / $5,219.39	Professional		$4,382.16	$4,470.47	$5,219.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $577.60 / $722.23 / $1,105.47	Facility		$577.60	$722.23	$1,105.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $746.40 / $895.68 / $1,110.64	Professional		$746.40	$895.68	$1,110.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $769.70 / $1,008.63 / $1,058.16	Professional		$769.70	$1,008.63	$1,058.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $577.60 / $724.62 / $1,164.57	Facility		$577.60	$724.62	$1,164.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.90 / $814.33 / $1,242.60	Professional		$606.90	$814.33	$1,242.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.17 / $621.82 / $980.70	Professional		$467.17	$621.82	$980.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $509.62 / $577.60 / $804.09	Professional		$509.62	$577.60	$804.09