Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.03 / $3,455.00 / $10,893.00	Facility		$862.03	$3,455.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.83 / $836.68 / $1,207.71	Professional		$650.83	$836.68	$1,207.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,471.03 / $7,081.77 / $14,231.23	Facility		$3,471.03	$7,081.77	$14,231.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.91 / $831.50 / $1,335.38	Professional		$619.91	$831.50	$1,335.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $574.83 / $574.83 / $828.08	Facility		$574.83	$574.83	$828.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $3,795.09 / $4,619.00	Facility		$2,500.00	$3,795.09	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.83 / $976.26 / $1,545.75	Professional		$686.83	$976.26	$1,545.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,616.58 / $11,500.00 / $26,542.00	Facility		$4,616.58	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,883.35 / $6,212.32 / $7,242.15	Professional		$4,883.35	$6,212.32	$7,242.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $668.40 / $908.26 / $1,520.76	Facility		$668.40	$908.26	$1,520.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $853.62 / $1,116.27 / $1,506.24	Professional		$853.62	$1,116.27	$1,506.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $909.10 / $2,248.40	Professional		$5.00	$909.10	$2,248.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.09 / $917.06 / $1,794.33	Facility		$670.09	$917.06	$1,794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $715.62 / $1,054.35 / $1,881.95	Professional		$715.62	$1,054.35	$1,881.95
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 $673.47 / $901.88 / $1,442.62	Professional		$673.47	$901.88	$1,442.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $714.18 / $834.86 / $1,131.03	Professional		$714.18	$834.86	$1,131.03