Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,213.00 / $10,836.00	Facility		$767.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.98 / $732.07 / $937.55	Professional		$642.98	$732.07	$937.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.52 / $765.17 / $1,066.06	Professional		$604.52	$765.17	$1,066.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.53 / $616.53 / $616.53	Facility		$616.53	$616.53	$616.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,320.03 / $4,320.03 / $4,320.03	Facility		$4,320.03	$4,320.03	$4,320.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.12 / $864.09 / $1,304.75	Professional		$682.12	$864.09	$1,304.75
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 $5,296.80 / $5,296.80 / $5,684.70	Professional		$5,296.80	$5,296.80	$5,684.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $653.36 / $821.26 / $1,436.38	Facility		$653.36	$821.26	$1,436.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $836.81 / $965.55 / $1,158.66	Professional		$836.81	$965.55	$1,158.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $880.60 / $880.60 / $880.60	Professional		$880.60	$880.60	$880.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.36 / $845.67 / $1,684.45	Facility		$653.36	$845.67	$1,684.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $682.12 / $877.28 / $1,343.15	Professional		$682.12	$877.28	$1,343.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $29,545.00	Facility		$2,605.00	$7,184.00	$29,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.50 / $683.18 / $1,117.07	Professional		$514.50	$683.18	$1,117.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.38 / $625.03 / $862.56	Professional		$549.38	$625.03	$862.56