Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,826.00	Facility		$916.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.10 / $724.55 / $1,207.15	Professional		$602.10	$724.55	$1,207.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.17 / $1,209.11 / $5,456.92	Facility		$693.17	$1,209.11	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.31 / $844.65 / $1,150.99	Professional		$667.31	$844.65	$1,150.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $658.91 / $669.99	Facility		$80.00	$658.91	$669.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $918.57 / $1,417.63	Professional		$684.00	$918.57	$1,417.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,821.48	Facility		$55.00	$55.00	$5,821.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,234.72 / $5,338.00 / $6,237.98	Professional		$5,234.72	$5,338.00	$6,237.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $675.79 / $857.30 / $1,380.98	Facility		$675.79	$857.30	$1,380.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.95 / $1,070.33 / $1,327.22	Professional		$891.95	$1,070.33	$1,327.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $854.50 / $854.50 / $854.50	Professional		$854.50	$854.50	$854.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.79 / $861.00 / $1,395.53	Facility		$675.79	$861.00	$1,395.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.02 / $956.98 / $1,473.22	Professional		$691.02	$956.98	$1,473.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.78 / $747.78 / $1,222.70	Professional		$559.78	$747.78	$1,222.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $691.02 / $960.42	Professional		$609.00	$691.02	$960.42