Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $3,522.00 / $10,893.00	Facility		$809.00	$3,522.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.73 / $768.68 / $1,218.53	Professional		$646.73	$768.68	$1,218.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,954.87 / $9,092.56 / $18,364.59	Facility		$4,954.87	$9,092.56	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.08 / $848.87 / $1,208.85	Professional		$696.08	$848.87	$1,208.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $693.56 / $704.81	Facility		$80.00	$693.56	$704.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.75 / $863.75 / $863.75	Facility		$863.75	$863.75	$863.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.98 / $1,006.44 / $1,542.08	Professional		$747.98	$1,006.44	$1,542.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,566.00 / $26,542.00 / $26,902.80	Facility		$3,566.00	$26,542.00	$26,902.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,386.47 / $6,386.47 / $6,567.68	Professional		$6,386.47	$6,386.47	$6,567.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $727.19 / $917.63 / $1,555.00	Facility		$727.19	$917.63	$1,555.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $938.86 / $1,126.64 / $1,397.03	Professional		$938.86	$1,126.64	$1,397.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $727.19 / $973.48 / $1,569.10	Professional		$727.19	$973.48	$1,569.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.19 / $928.55 / $1,702.52	Facility		$727.19	$928.55	$1,702.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.49 / $1,030.99 / $1,569.97	Professional		$770.49	$1,030.99	$1,569.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.25 / $807.20 / $1,267.29	Professional		$589.25	$807.20	$1,267.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $641.03 / $727.19 / $1,010.92	Professional		$641.03	$727.19	$1,010.92