Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,352.00 / $11,453.00	Facility		$767.00	$3,352.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.49 / $623.10 / $1,031.45	Professional		$524.49	$623.10	$1,031.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,092.56 / $18,364.59	Facility		$5,084.66	$9,092.56	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.32 / $688.19 / $980.04	Professional		$564.32	$688.19	$980.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $566.88 / $4,824.08 / $4,824.08	Facility		$566.88	$4,824.08	$4,824.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.82 / $700.82 / $700.82	Facility		$700.82	$700.82	$700.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.54 / $783.75 / $1,201.31	Professional		$591.54	$783.75	$1,201.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,313.36 / $26,542.00 / $28,559.10	Facility		$2,313.36	$26,542.00	$28,559.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,694.09 / $4,694.09 / $5,328.98	Professional		$4,694.09	$4,694.09	$5,328.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.11 / $702.56 / $1,131.26	Facility		$570.11	$702.56	$1,131.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $761.76 / $914.12 / $1,133.50	Professional		$761.76	$914.12	$1,133.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $576.64 / $750.71 / $1,063.36	Professional		$576.64	$750.71	$1,063.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.54 / $707.28 / $1,183.82	Facility		$572.54	$707.28	$1,183.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $594.39 / $811.89 / $1,249.06	Professional		$594.39	$811.89	$1,249.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,953.00 / $16,194.00	Facility		$2,614.00	$7,953.00	$16,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.32 / $631.04 / $996.22	Professional		$464.32	$631.04	$996.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $589.40 / $820.58	Professional		$520.11	$589.40	$820.58