Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,040.00	Facility		$916.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.58 / $773.94 / $1,151.17	Professional		$687.58	$773.94	$1,151.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,650.72 / $7,227.29 / $14,454.58	Facility		$3,650.72	$7,227.29	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.76 / $777.73 / $1,211.43	Professional		$608.76	$777.73	$1,211.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $669.75 / $669.75 / $669.75	Facility		$669.75	$669.75	$669.75
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 $676.55 / $961.48 / $1,520.63	Professional		$676.55	$961.48	$1,520.63
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 $6,710.08 / $6,710.08 / $6,710.08	Professional		$6,710.08	$6,710.08	$6,710.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $688.36 / $909.70 / $1,596.83	Facility		$688.36	$909.70	$1,596.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $834.74 / $1,110.57 / $1,350.10	Professional		$834.74	$1,110.57	$1,350.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $822.40 / $1,953.40	Professional		$6.00	$822.40	$1,953.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $689.25 / $928.72 / $1,798.81	Facility		$689.25	$928.72	$1,798.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $702.94 / $1,014.09 / $1,827.40	Professional		$702.94	$1,014.09	$1,827.40
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 $599.61 / $808.40 / $1,249.97	Professional		$599.61	$808.40	$1,249.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $619.50 / $724.17 / $981.57	Professional		$619.50	$724.17	$981.57