Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.89 / $2,673.00 / $7,495.00	Facility		$697.89	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.20 / $672.07 / $877.97	Professional		$560.20	$672.07	$877.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,272.44 / $4,200.00 / $8,895.81	Facility		$2,272.44	$4,200.00	$8,895.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.35 / $711.80 / $969.95	Professional		$562.35	$711.80	$969.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $526.20 / $526.20 / $526.20	Facility		$526.20	$526.20	$526.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.46 / $2,280.46 / $2,280.46	Facility		$2,280.46	$2,280.46	$2,280.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.66 / $784.46 / $1,188.57	Professional		$601.66	$784.46	$1,188.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $16,394.00 / $16,394.00	Facility		$9,011.04	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,350.00 / $4,509.92 / $5,067.68	Professional		$4,350.00	$4,509.92	$5,067.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $586.36 / $759.83 / $1,262.95	Facility		$586.36	$759.83	$1,262.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $761.54 / $896.27 / $1,054.44	Professional		$761.54	$896.27	$1,054.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $755.40 / $755.40 / $755.40	Professional		$755.40	$755.40	$755.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $586.36 / $771.59 / $1,411.75	Facility		$586.36	$771.59	$1,411.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $604.25 / $797.52 / $1,269.71	Professional		$604.25	$797.52	$1,269.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.90 / $635.48 / $1,016.50	Professional		$468.90	$635.48	$1,016.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $499.96 / $566.42 / $791.59	Professional		$499.96	$566.42	$791.59