Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.05 / $2,768.00 / $7,542.00	Facility		$699.05	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.21 / $770.62 / $1,204.29	Professional		$675.21	$770.62	$1,204.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $9,092.56 / $18,364.59	Facility		$4,606.10	$9,092.56	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.22 / $863.81 / $1,185.01	Professional		$698.22	$863.81	$1,185.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $697.34 / $708.32	Facility		$80.00	$697.34	$708.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.10 / $867.10 / $867.10	Facility		$867.10	$867.10	$867.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.78 / $971.02 / $1,493.08	Professional		$707.78	$971.02	$1,493.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,579.60 / $16,394.00 / $26,669.10	Facility		$3,579.60	$16,394.00	$26,669.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,529.28 / $5,633.68 / $6,594.15	Professional		$5,529.28	$5,633.68	$6,594.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.55 / $817.95 / $1,338.02	Facility		$634.55	$817.95	$1,338.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $942.50 / $1,153.61 / $1,402.44	Professional		$942.50	$1,153.61	$1,402.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $818.10 / $1,285.39 / $2,763.86	Professional		$818.10	$1,285.39	$2,763.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $634.55 / $821.50 / $1,387.05	Facility		$634.55	$821.50	$1,387.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $735.28 / $1,022.43 / $1,570.25	Professional		$735.28	$1,022.43	$1,570.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.04 / $787.48 / $1,246.56	Professional		$590.04	$787.48	$1,246.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $643.52 / $729.87 / $1,014.88	Professional		$643.52	$729.87	$1,014.88