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 $555.66 / $634.26 / $807.80	Professional		$555.66	$634.26	$807.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,417.96 / $4,349.00 / $8,286.12	Facility		$2,417.96	$4,349.00	$8,286.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.49 / $658.98 / $917.87	Professional		$520.49	$658.98	$917.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $518.76 / $518.76 / $518.76	Facility		$518.76	$518.76	$518.76
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 $603.54 / $821.73 / $1,222.49	Professional		$603.54	$821.73	$1,222.49
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 $4,505.85 / $4,505.85 / $4,873.80	Professional		$4,505.85	$4,505.85	$4,873.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $591.79 / $792.74 / $1,381.37	Facility		$591.79	$792.74	$1,381.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $716.96 / $827.27 / $992.72	Professional		$716.96	$827.27	$992.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $937.32 / $1,079.04 / $2,091.38	Professional		$937.32	$1,079.04	$2,091.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $591.79 / $806.21 / $1,577.21	Facility		$591.79	$806.21	$1,577.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $603.54 / $830.21 / $1,348.29	Professional		$603.54	$830.21	$1,348.29
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 $522.27 / $684.17 / $1,097.11	Professional		$522.27	$684.17	$1,097.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $470.70 / $539.41 / $736.59	Professional		$470.70	$539.41	$736.59