Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $11,453.00	Facility		$916.00	$3,682.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.66 / $825.54 / $1,072.08	Professional		$690.66	$825.54	$1,072.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,997.44 / $7,324.30 / $14,454.58	Facility		$3,997.44	$7,324.30	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.54 / $849.35 / $1,197.55	Professional		$635.54	$849.35	$1,197.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $653.04 / $653.04 / $653.04	Facility		$653.04	$653.04	$653.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.57 / $940.78 / $1,418.00	Professional		$712.57	$940.78	$1,418.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,321.68 / $5,518.40 / $6,216.68	Professional		$5,321.68	$5,518.40	$6,216.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $690.66 / $907.74 / $1,516.61	Facility		$690.66	$907.74	$1,516.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $932.69 / $1,097.70 / $1,291.41	Professional		$932.69	$1,097.70	$1,291.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $664.87 / $763.30 / $859.14	Professional		$664.87	$763.30	$859.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $690.66 / $917.80 / $1,678.12	Facility		$690.66	$917.80	$1,678.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.87 / $949.45 / $1,502.17	Professional		$722.87	$949.45	$1,502.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.45 / $774.09 / $1,202.85	Professional		$576.45	$774.09	$1,202.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $612.32 / $691.67 / $970.19	Professional		$612.32	$691.67	$970.19