Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.62 / $2,783.00 / $7,542.00	Facility		$693.62	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.54 / $721.09 / $1,219.42	Professional		$593.54	$721.09	$1,219.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,539.42 / $4,352.55 / $8,403.96	Facility		$2,539.42	$4,352.55	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.77 / $832.58 / $1,134.53	Professional		$657.77	$832.58	$1,134.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $649.44 / $660.09	Facility		$80.00	$649.44	$660.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.07 / $809.07 / $809.07	Facility		$809.07	$809.07	$809.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.24 / $939.81 / $1,426.31	Professional		$681.24	$939.81	$1,426.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,340.35 / $11,500.00 / $16,394.00	Facility		$3,340.35	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,911.53 / $6,911.53 / $6,911.53	Professional		$6,911.53	$6,911.53	$6,911.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.59 / $901.32 / $1,560.91	Facility		$681.59	$901.32	$1,560.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $879.43 / $1,055.31 / $1,308.58	Professional		$879.43	$1,055.31	$1,308.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.00 / $1,147.00 / $1,147.00	Professional		$1,147.00	$1,147.00	$1,147.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.75 / $905.84 / $1,597.73	Facility		$686.75	$905.84	$1,597.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.53 / $955.83 / $1,468.26	Professional		$699.53	$955.83	$1,468.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.96 / $743.04 / $1,166.36	Professional		$552.96	$743.04	$1,166.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $600.45 / $681.24 / $946.92	Professional		$600.45	$681.24	$946.92