Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.08 / $874.36 / $1,475.23	Professional		$758.08	$874.36	$1,475.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.16 / $1,425.42 / $4,275.00	Facility		$864.16	$1,425.42	$4,275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.89 / $1,008.67 / $1,374.50	Professional		$796.89	$1,008.67	$1,374.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $782.09 / $796.02	Facility		$80.00	$782.09	$796.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.32 / $978.32 / $978.32	Facility		$978.32	$978.32	$978.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.50 / $1,140.30 / $1,707.14	Professional		$814.50	$1,140.30	$1,707.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,922.42	Facility		$55.00	$55.00	$8,922.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,235.13 / $7,235.13 / $7,435.65	Professional		$7,235.13	$7,235.13	$7,435.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $821.29 / $1,042.71 / $1,744.20	Facility		$821.29	$1,042.71	$1,744.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.39 / $1,276.07 / $1,582.32	Professional		$1,063.39	$1,276.07	$1,582.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $948.11 / $1,441.39 / $1,831.70	Professional		$948.11	$1,441.39	$1,831.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $824.15 / $1,045.28 / $1,885.09	Facility		$824.15	$1,045.28	$1,885.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $824.15 / $1,168.51 / $1,775.87	Professional		$824.15	$1,168.51	$1,775.87
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 $669.92 / $894.52 / $1,429.82	Professional		$669.92	$894.52	$1,429.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $726.06 / $824.15 / $1,144.89	Professional		$726.06	$824.15	$1,144.89