Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,682.00 / $12,941.00	Facility		$882.00	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.02 / $811.49 / $1,371.48	Professional		$711.02	$811.49	$1,371.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,326.10 / $9,331.84 / $18,364.59	Facility		$5,326.10	$9,331.84	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.03 / $935.43 / $1,274.69	Professional		$739.03	$935.43	$1,274.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $728.20 / $740.43	Facility		$80.00	$728.20	$740.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.88 / $909.88 / $909.88	Facility		$909.88	$909.88	$909.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.33 / $1,059.85 / $1,620.30	Professional		$789.33	$1,059.85	$1,620.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,756.80 / $26,542.00 / $28,340.90	Facility		$3,756.80	$26,542.00	$28,340.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,802.72 / $5,915.04 / $6,918.23	Professional		$5,802.72	$5,915.04	$6,918.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $769.92 / $992.06 / $1,621.63	Facility		$769.92	$992.06	$1,621.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $989.00 / $1,186.80 / $1,471.63	Professional		$989.00	$1,186.80	$1,471.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $783.53 / $996.40 / $1,707.43	Professional		$783.53	$996.40	$1,707.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $770.94 / $996.05 / $1,627.50	Facility		$770.94	$996.05	$1,627.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $805.07 / $1,090.99 / $1,663.94	Professional		$805.07	$1,090.99	$1,663.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,019.00 / $16,000.00	Facility		$2,605.00	$7,019.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.20 / $855.03 / $1,333.77	Professional		$621.20	$855.03	$1,333.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $675.27 / $766.19 / $1,064.83	Professional		$675.27	$766.19	$1,064.83