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 $710.77 / $811.21 / $1,315.46	Professional		$710.77	$811.21	$1,315.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,568.51 / $18,446.09 / $45,698.73	Facility		$8,568.51	$18,446.09	$45,698.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.64 / $936.21 / $1,275.75	Professional		$739.64	$936.21	$1,275.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $726.59 / $739.80	Facility		$80.00	$726.59	$739.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $909.50 / $909.50	Facility		$909.50	$909.50	$909.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.47 / $1,061.47 / $1,637.03	Professional		$774.47	$1,061.47	$1,637.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $51,033.70	Facility		$55.00	$2,000.00	$51,033.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,800.64 / $5,914.16 / $6,914.25	Professional		$5,800.64	$5,914.16	$6,914.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $750.96 / $923.29 / $1,557.60	Facility		$750.96	$923.29	$1,557.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $988.59 / $1,186.31 / $1,471.02	Professional		$988.59	$1,186.31	$1,471.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $773.76 / $1,099.27 / $2,878.54	Professional		$773.76	$1,099.27	$2,878.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $752.18 / $935.47 / $1,612.65	Facility		$752.18	$935.47	$1,612.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.67 / $1,088.70 / $1,657.64	Professional		$808.67	$1,088.70	$1,657.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $25,722.00	Facility		$2,093.00	$6,000.00	$25,722.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.63 / $845.05 / $1,359.59	Professional		$623.63	$845.05	$1,359.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $766.30 / $1,064.21	Professional		$674.98	$766.30	$1,064.21