Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,377.00	Facility		$921.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.45 / $773.35 / $1,003.97	Professional		$649.45	$773.35	$1,003.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,275.80 / $14,454.58	Facility		$4,122.95	$7,275.80	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.53 / $820.89 / $1,143.68	Professional		$648.53	$820.89	$1,143.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.37 / $616.37 / $616.37	Facility		$616.37	$616.37	$616.37
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 $668.62 / $882.96 / $1,364.12	Professional		$668.62	$882.96	$1,364.12
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 $6,630.84 / $6,630.84 / $6,630.84	Professional		$6,630.84	$6,630.84	$6,630.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.72 / $851.14 / $1,736.00	Facility		$647.72	$851.14	$1,736.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $873.81 / $1,028.40 / $1,209.89	Professional		$873.81	$1,028.40	$1,209.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $775.10 / $775.10 / $775.10	Professional		$775.10	$775.10	$775.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.72 / $853.94 / $1,848.00	Facility		$647.72	$853.94	$1,848.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $675.98 / $896.99 / $1,467.13	Professional		$675.98	$896.99	$1,467.13
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 $524.45 / $733.70 / $1,165.69	Professional		$524.45	$733.70	$1,165.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $573.66 / $647.72 / $909.13	Professional		$573.66	$647.72	$909.13