Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,213.00 / $10,836.00	Facility		$748.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.00 / $641.62 / $793.00	Professional		$561.00	$641.62	$793.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.67 / $4,434.05 / $8,175.28	Facility		$2,517.67	$4,434.05	$8,175.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.83 / $614.69 / $906.25	Professional		$521.83	$614.69	$906.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $524.02 / $524.02	Facility		$524.02	$524.02	$524.02
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 $609.04 / $796.93 / $1,217.26	Professional		$609.04	$796.93	$1,217.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $26,542.00 / $26,542.00	Facility		$9,011.04	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,462.41 / $6,462.41 / $6,462.41	Professional		$6,462.41	$6,462.41	$6,462.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $597.29 / $805.84 / $1,592.34	Facility		$597.29	$805.84	$1,592.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $723.68 / $835.02 / $1,002.02	Professional		$723.68	$835.02	$1,002.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $693.34 / $1,039.22 / $2,091.26	Professional		$693.34	$1,039.22	$2,091.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.29 / $820.04 / $1,732.50	Facility		$597.29	$820.04	$1,732.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $609.04 / $828.73 / $1,355.25	Professional		$609.04	$828.73	$1,355.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.99 / $707.23 / $1,049.98	Professional		$524.99	$707.23	$1,049.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.11 / $544.51 / $743.53	Professional		$475.11	$544.51	$743.53