Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $10,893.00	Facility		$803.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.05 / $649.47 / $1,065.76	Professional		$569.05	$649.47	$1,065.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.69 / $4,352.55 / $9,252.58	Facility		$2,463.69	$4,352.55	$9,252.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.08 / $729.37 / $1,023.04	Professional		$589.08	$729.37	$1,023.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $586.04 / $595.44	Facility		$80.00	$586.04	$595.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.81 / $732.81 / $732.81	Facility		$732.81	$732.81	$732.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.29 / $840.31 / $1,274.38	Professional		$620.29	$840.31	$1,274.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,957.00 / $20,000.00	Facility		$1,800.00	$8,957.00	$20,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,673.52 / $4,754.16 / $5,572.20	Professional		$4,673.52	$4,754.16	$5,572.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.48 / $740.32 / $1,209.83	Facility		$599.48	$740.32	$1,209.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $796.54 / $955.85 / $1,185.25	Professional		$796.54	$955.85	$1,185.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.13 / $616.92 / $1,008.40	Professional		$583.13	$616.92	$1,008.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.99 / $746.03 / $1,297.90	Facility		$599.99	$746.03	$1,297.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.88 / $868.08 / $1,330.14	Professional		$643.88	$868.08	$1,330.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,476.00	Facility		$1,693.00	$5,210.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.61 / $687.61 / $1,069.95	Professional		$497.61	$687.61	$1,069.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $543.86 / $616.92 / $857.68	Professional		$543.86	$616.92	$857.68