Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $2,747.00 / $8,328.00	Facility		$696.00	$2,747.00	$8,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.48 / $670.88 / $1,120.38	Professional		$552.48	$670.88	$1,120.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,352.55 / $8,431.35	Facility		$2,518.44	$4,352.55	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.60 / $774.14 / $1,054.90	Professional		$611.60	$774.14	$1,054.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $605.38 / $614.89	Facility		$80.00	$605.38	$614.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.89 / $752.89 / $752.89	Facility		$752.89	$752.89	$752.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.00 / $856.56 / $1,292.20	Professional		$635.00	$856.56	$1,292.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,486.16 / $11,500.00 / $16,394.00	Facility		$2,486.16	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,376.00 / $5,376.00 / $5,722.88	Professional		$5,376.00	$5,376.00	$5,722.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.21 / $784.27 / $1,289.83	Facility		$616.21	$784.27	$1,289.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $767.95 / $982.04 / $1,217.72	Professional		$767.95	$982.04	$1,217.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $849.70 / $849.70 / $849.70	Professional		$849.70	$849.70	$849.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.76 / $792.18 / $1,369.50	Facility		$619.76	$792.18	$1,369.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $639.13 / $894.80 / $1,348.29	Professional		$639.13	$894.80	$1,348.29
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 $512.67 / $683.90 / $1,080.56	Professional		$512.67	$683.90	$1,080.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $558.76 / $633.75 / $881.35	Professional		$558.76	$633.75	$881.35