Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,640.00 / $7,495.00	Facility		$669.00	$2,640.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.99 / $642.19 / $964.15	Professional		$575.99	$642.19	$964.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,004.06 / $3,928.93 / $7,805.48	Facility		$2,004.06	$3,928.93	$7,805.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.35 / $726.99 / $1,012.87	Professional		$574.35	$726.99	$1,012.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $535.85 / $535.85 / $541.40	Facility		$535.85	$535.85	$541.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $1,924.45 / $2,355.06	Facility		$1,508.82	$1,924.45	$2,355.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.38 / $823.73 / $1,287.93	Professional		$588.38	$823.73	$1,287.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $11,500.00 / $16,394.00	Facility		$7,909.30	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,506.80 / $4,632.96 / $5,239.88	Professional		$4,506.80	$4,632.96	$5,239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $598.89 / $776.21 / $1,343.76	Facility		$598.89	$776.21	$1,343.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $697.48 / $927.95 / $1,128.08	Professional		$697.48	$927.95	$1,128.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $889.60 / $1,567.70	Professional		$5.00	$889.60	$1,567.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $598.89 / $785.84 / $1,415.51	Facility		$598.89	$785.84	$1,415.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.26 / $865.57 / $1,526.17	Professional		$607.26	$865.57	$1,526.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.17 / $693.60 / $1,078.85	Professional		$512.17	$693.60	$1,078.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $517.63 / $605.02 / $818.78	Professional		$517.63	$605.02	$818.78