Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,894.00 / $13,601.00	Facility		$935.00	$3,894.00	$13,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.29 / $1,419.08 / $2,006.99	Professional		$275.29	$1,419.08	$2,006.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $1,195.48 / $1,949.64	Professional		$253.09	$1,195.48	$1,949.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $246.39 / $246.39 / $246.39	Facility		$246.39	$246.39	$246.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,826.41 / $3,826.41 / $3,826.41	Facility		$3,826.41	$3,826.41	$3,826.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $692.26 / $3,002.05	Professional		$316.08	$692.26	$3,002.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,868.10	Facility		$55.00	$55.00	$1,868.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,155.66 / $12,104.72 / $13,893.51	Professional		$5,155.66	$12,104.72	$13,893.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.11 / $1,329.93 / $3,570.31	Facility		$299.11	$1,329.93	$3,570.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $348.18 / $1,729.53 / $2,328.21	Professional		$348.18	$1,729.53	$2,328.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $1,219.89 / $2,476.31	Professional		$266.77	$1,219.89	$2,476.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.11 / $1,385.81 / $3,654.52	Facility		$299.11	$1,385.81	$3,654.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.41 / $907.50 / $3,155.31	Professional		$321.41	$907.50	$3,155.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,231.00 / $10,476.00	Facility		$1,693.00	$5,231.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.46 / $1,878.60 / $3,107.16	Professional		$1,361.46	$1,878.60	$3,107.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,135.47 / $1,266.59 / $1,804.02	Professional		$1,135.47	$1,266.59	$1,804.02