Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.17 / $2,244.00 / $7,513.00	Facility		$637.17	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.62 / $702.60 / $1,182.68	Professional		$615.62	$702.60	$1,182.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $975.88 / $2,060.19 / $4,277.00	Facility		$975.88	$2,060.19	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.38 / $813.10 / $1,107.99	Professional		$642.38	$813.10	$1,107.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $635.70 / $645.27	Facility		$80.00	$635.70	$645.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.33 / $792.33 / $792.33	Facility		$792.33	$792.33	$792.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.49 / $913.44 / $1,379.54	Professional		$681.49	$913.44	$1,379.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,270.30 / $11,500.00 / $12,000.00	Facility		$3,270.30	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,052.24 / $5,142.64 / $6,026.33	Professional		$5,052.24	$5,142.64	$6,026.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.64 / $854.08 / $1,295.00	Facility		$666.64	$854.08	$1,295.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $861.23 / $1,033.47 / $1,281.50	Professional		$861.23	$1,033.47	$1,281.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $791.02 / $1,217.57 / $2,614.23	Professional		$791.02	$1,217.57	$2,614.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.15 / $854.76 / $1,315.52	Facility		$669.15	$854.76	$1,315.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $700.77 / $942.44 / $1,434.81	Professional		$700.77	$942.44	$1,434.81
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.79 / $728.96 / $1,124.90	Professional		$539.79	$728.96	$1,124.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.02 / $666.64 / $927.50	Professional		$588.02	$666.64	$927.50