Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $12,729.00	Facility		$872.00	$3,682.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.71 / $594.23 / $897.43	Professional		$526.71	$594.23	$897.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,880.42 / $7,275.80 / $14,551.59	Facility		$3,880.42	$7,275.80	$14,551.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.81 / $578.77 / $955.53	Professional		$456.81	$578.77	$955.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.41 / $524.41 / $528.96	Facility		$524.41	$524.41	$528.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.00 / $3,795.09 / $4,927.06	Facility		$2,847.00	$3,795.09	$4,927.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.73 / $746.33 / $1,143.41	Professional		$548.73	$746.33	$1,143.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,481.71 / $8,481.71 / $8,481.71	Professional		$8,481.71	$8,481.71	$8,481.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $548.73 / $697.45 / $1,334.96	Facility		$548.73	$697.45	$1,334.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $652.83 / $868.55 / $1,055.88	Professional		$652.83	$868.55	$1,055.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $767.10 / $1,495.10	Professional		$6.00	$767.10	$1,495.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.84 / $703.55 / $1,599.91	Facility		$549.84	$703.55	$1,599.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $561.48 / $786.73 / $1,436.24	Professional		$561.48	$786.73	$1,436.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.68 / $622.42 / $1,005.11	Professional		$460.68	$622.42	$1,005.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $484.50 / $565.52 / $765.60	Professional		$484.50	$565.52	$765.60