Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,826.00	Facility		$916.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.52 / $628.77 / $1,145.25	Professional		$548.52	$628.77	$1,145.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,683.67 / $8,972.92 / $21,921.10	Facility		$4,683.67	$8,972.92	$21,921.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.04 / $693.41 / $972.61	Professional		$560.04	$693.41	$972.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $651.41 / $662.17	Facility		$80.00	$651.41	$662.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.04 / $812.04 / $812.04	Facility		$812.04	$812.04	$812.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.53 / $839.65 / $1,327.83	Professional		$627.53	$839.65	$1,327.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,682.12 / $26,542.00 / $30,155.25	Facility		$2,682.12	$26,542.00	$30,155.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,679.29 / $7,679.29 / $7,679.29	Professional		$7,679.29	$7,679.29	$7,679.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.83 / $793.85 / $1,341.37	Facility		$625.83	$793.85	$1,341.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $882.65 / $1,059.18 / $1,313.38	Professional		$882.65	$1,059.18	$1,313.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $769.28 / $888.90 / $1,229.59	Professional		$769.28	$888.90	$1,229.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.58 / $796.82 / $1,375.63	Facility		$626.58	$796.82	$1,375.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $880.82 / $1,327.83	Professional		$641.85	$880.82	$1,327.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.85 / $654.10 / $1,038.89	Professional		$490.85	$654.10	$1,038.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.65 / $683.77 / $950.39	Professional		$602.65	$683.77	$950.39