Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,643.00 / $10,836.00	Facility		$803.00	$3,643.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.51 / $765.40 / $1,305.07	Professional		$642.51	$765.40	$1,305.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $9,032.74 / $17,826.21	Facility		$4,307.00	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.14 / $753.96 / $1,175.73	Professional		$607.14	$753.96	$1,175.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $691.27 / $702.45	Facility		$80.00	$691.27	$702.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.40 / $860.40 / $860.40	Facility		$860.40	$860.40	$860.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.27 / $1,002.00 / $1,533.76	Professional		$744.27	$1,002.00	$1,533.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,552.10 / $26,542.00 / $28,567.65	Facility		$3,552.10	$26,542.00	$28,567.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,095.88 / $6,095.88 / $6,542.25	Professional		$6,095.88	$6,095.88	$6,542.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.36 / $913.63 / $1,548.00	Facility		$724.36	$913.63	$1,548.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $935.21 / $1,122.26 / $1,391.60	Professional		$935.21	$1,122.26	$1,391.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.36 / $969.72 / $1,562.96	Professional		$724.36	$969.72	$1,562.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.36 / $923.99 / $1,670.24	Facility		$724.36	$923.99	$1,670.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.00 / $1,031.71 / $1,564.42	Professional		$767.00	$1,031.71	$1,564.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.54 / $782.06 / $1,237.26	Professional		$586.54	$782.06	$1,237.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $638.54 / $724.36 / $1,007.02	Professional		$638.54	$724.36	$1,007.02