Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.09 / $2,673.00 / $7,495.00	Facility		$755.09	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.42 / $793.20 / $1,170.26	Professional		$707.42	$793.20	$1,170.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.42 / $2,158.94 / $4,200.00	Facility		$1,187.42	$2,158.94	$4,200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.94 / $891.02 / $1,241.38	Professional		$703.94	$891.02	$1,241.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.12 / $676.12 / $676.12	Facility		$676.12	$676.12	$676.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.31 / $943.63 / $2,213.00	Facility		$796.31	$943.63	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.34 / $981.08 / $1,557.23	Professional		$664.34	$981.08	$1,557.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,185.32 / $11,500.00 / $16,394.00	Facility		$5,185.32	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,458.40 / $5,632.00 / $6,376.95	Professional		$5,458.40	$5,632.00	$6,376.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $642.74 / $874.59 / $1,621.06	Facility		$642.74	$874.59	$1,621.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.26 / $1,125.90 / $1,368.74	Professional		$846.26	$1,125.90	$1,368.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $728.40 / $2,004.80	Professional		$5.00	$728.40	$2,004.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.26 / $885.28 / $1,725.19	Facility		$660.26	$885.28	$1,725.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.25 / $1,035.49 / $1,886.67	Professional		$709.25	$1,035.49	$1,886.67
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.51 / $835.36 / $1,295.90	Professional		$626.51	$835.36	$1,295.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $734.18 / $995.21	Professional		$628.04	$734.18	$995.21