Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,377.00	Facility		$895.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.98 / $658.51 / $1,115.22	Professional		$576.98	$658.51	$1,115.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,325.17 / $8,431.35	Facility		$2,518.44	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.52 / $760.11 / $1,035.79	Professional		$600.52	$760.11	$1,035.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $597.88 / $606.35	Facility		$80.00	$597.88	$606.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.62 / $740.62 / $740.62	Facility		$740.62	$740.62	$740.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $858.07 / $1,332.26	Professional		$638.59	$858.07	$1,332.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,056.15 / $11,500.00 / $26,542.00	Facility		$3,056.15	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,052.96 / $6,052.96 / $6,052.96	Professional		$6,052.96	$6,052.96	$6,052.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.79 / $809.94 / $1,320.49	Facility		$627.79	$809.94	$1,320.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $805.03 / $966.03 / $1,197.88	Professional		$805.03	$966.03	$1,197.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $713.89 / $1,082.74 / $1,406.45	Professional		$713.89	$1,082.74	$1,406.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.79 / $816.49 / $1,379.50	Facility		$627.79	$816.49	$1,379.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.57 / $883.48 / $1,353.60	Professional		$655.57	$883.48	$1,353.60
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 $502.91 / $677.16 / $1,064.21	Professional		$502.91	$677.16	$1,064.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.65 / $623.03 / $867.17	Professional		$549.65	$623.03	$867.17