Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,219.00 / $11,453.00	Facility		$788.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.40 / $726.32 / $1,228.78	Professional		$636.40	$726.32	$1,228.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,403.96	Facility		$2,436.33	$4,325.17	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.69 / $838.81 / $1,143.03	Professional		$662.69	$838.81	$1,143.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $655.51 / $666.09	Facility		$80.00	$655.51	$666.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.40 / $815.40 / $815.40	Facility		$815.40	$815.40	$815.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.68 / $949.56 / $1,455.10	Professional		$706.68	$949.56	$1,455.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,366.10 / $11,500.00 / $26,542.00	Facility		$3,366.10	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,201.43 / $5,305.04 / $6,198.75	Professional		$5,201.43	$5,305.04	$6,198.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.84 / $897.75 / $1,408.71	Facility		$692.84	$897.75	$1,408.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $886.30 / $1,063.56 / $1,318.81	Professional		$886.30	$1,063.56	$1,318.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $942.60 / $942.60 / $942.60	Professional		$942.60	$942.60	$942.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.84 / $902.54 / $1,449.20	Facility		$692.84	$902.54	$1,449.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.72 / $977.47 / $1,489.31	Professional		$725.72	$977.47	$1,489.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.30 / $745.38 / $1,196.84	Professional		$563.30	$745.38	$1,196.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $605.14 / $686.47 / $954.40	Professional		$605.14	$686.47	$954.40