Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,224.00 / $11,453.00	Facility		$767.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.16 / $622.72 / $975.46	Professional		$541.16	$622.72	$975.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,381.58 / $4,297.80 / $8,418.26	Facility		$2,381.58	$4,297.80	$8,418.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.77 / $701.74 / $984.29	Professional		$566.77	$701.74	$984.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $580.61 / $592.72	Facility		$80.00	$580.61	$592.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.19 / $701.19 / $701.19	Facility		$701.19	$701.19	$701.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.55 / $820.95 / $1,275.16	Professional		$621.55	$820.95	$1,275.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,061.96 / $11,500.00 / $26,542.00	Facility		$4,061.96	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,447.20 / $4,532.47 / $5,355.90	Professional		$4,447.20	$4,532.47	$5,355.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $769.82 / $1,200.93	Facility		$576.00	$769.82	$1,200.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $762.16 / $914.60 / $1,134.09	Professional		$762.16	$914.60	$1,134.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $783.00 / $1,029.60 / $1,071.84	Professional		$783.00	$1,029.60	$1,071.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $774.54 / $1,250.40	Facility		$576.00	$774.54	$1,250.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.53 / $851.35 / $1,294.85	Professional		$630.53	$851.35	$1,294.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.72 / $653.16 / $1,033.73	Professional		$486.72	$653.16	$1,033.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $520.39 / $591.19 / $818.98	Professional		$520.39	$591.19	$818.98