Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,849.00 / $13,004.00	Facility		$935.00	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.89 / $755.92 / $969.03	Professional		$633.89	$755.92	$969.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,268.47 / $7,668.00 / $14,212.05	Facility		$4,268.47	$7,668.00	$14,212.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.21 / $632.22 / $1,064.79	Professional		$487.21	$632.22	$1,064.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $597.94 / $597.94 / $597.94	Facility		$597.94	$597.94	$597.94
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 $649.02 / $847.30 / $1,326.60	Professional		$649.02	$847.30	$1,326.60
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 $6,691.93 / $6,691.93 / $6,691.93	Professional		$6,691.93	$6,691.93	$6,691.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.75 / $817.87 / $1,414.80	Facility		$624.75	$817.87	$1,414.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $844.79 / $994.26 / $1,169.71	Professional		$844.79	$994.26	$1,169.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $696.20 / $696.20 / $696.20	Professional		$696.20	$696.20	$696.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.75 / $826.57 / $1,762.54	Facility		$624.75	$826.57	$1,762.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $654.00 / $866.12 / $1,427.32	Professional		$654.00	$866.12	$1,427.32
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 $512.75 / $691.57 / $1,097.30	Professional		$512.75	$691.57	$1,097.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $554.62 / $624.75 / $879.51	Professional		$554.62	$624.75	$879.51