Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.61 / $3,504.00 / $10,836.00	Facility		$807.61	$3,504.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.97 / $890.18 / $1,407.98	Professional		$779.97	$890.18	$1,407.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,973.48 / $17,970.07 / $35,464.12	Facility		$7,973.48	$17,970.07	$35,464.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.13 / $983.07 / $1,399.98	Professional		$806.13	$983.07	$1,399.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $798.49 / $812.90	Facility		$80.00	$798.49	$812.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.04 / $998.04 / $998.04	Facility		$998.04	$998.04	$998.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.43 / $1,157.92 / $1,739.88	Professional		$847.43	$1,157.92	$1,739.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $20,000.00 / $50,131.30	Facility		$1,800.00	$20,000.00	$50,131.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,367.84 / $6,494.40 / $7,584.60	Professional		$6,367.84	$6,494.40	$7,584.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $830.84 / $1,009.09 / $1,686.63	Facility		$830.84	$1,009.09	$1,686.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.83 / $1,301.79 / $1,614.22	Professional		$1,084.83	$1,301.79	$1,614.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.52 / $840.91 / $1,370.82	Professional		$794.52	$840.91	$1,370.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $833.82 / $1,040.17 / $1,781.70	Facility		$833.82	$1,040.17	$1,781.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $883.84 / $1,194.55 / $1,824.46	Professional		$883.84	$1,194.55	$1,824.46
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 $684.80 / $940.73 / $1,464.48	Professional		$684.80	$940.73	$1,464.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $740.69 / $840.91 / $1,167.91	Professional		$740.69	$840.91	$1,167.91