Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,213.00 / $10,893.00	Facility		$759.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.30 / $635.16 / $1,070.30	Professional		$563.30	$635.16	$1,070.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.31 / $8,793.46 / $15,732.53	Facility		$3,090.31	$8,793.46	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.92 / $685.84 / $961.99	Professional		$553.92	$685.84	$961.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $585.19 / $591.27	Facility		$80.00	$585.19	$591.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.98 / $711.98 / $711.98	Facility		$711.98	$711.98	$711.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.42 / $867.81 / $1,328.11	Professional		$632.42	$867.81	$1,328.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.44 / $25,239.65 / $26,542.00	Facility		$2,344.44	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,751.88 / $4,751.88 / $5,331.15	Professional		$4,751.88	$4,751.88	$5,331.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.54 / $800.88 / $1,249.76	Facility		$613.54	$800.88	$1,249.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $773.89 / $928.67 / $1,151.54	Professional		$773.89	$928.67	$1,151.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $790.20 / $790.20 / $790.20	Professional		$790.20	$790.20	$790.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.54 / $803.35 / $1,314.64	Facility		$613.54	$803.35	$1,314.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $635.75 / $900.23 / $1,362.40	Professional		$635.75	$900.23	$1,362.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.75 / $690.05 / $1,114.32	Professional		$525.75	$690.05	$1,114.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $528.39 / $601.51 / $836.16	Professional		$528.39	$601.51	$836.16