Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,213.00 / $10,836.00	Facility		$748.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.63 / $524.15 / $793.65	Professional		$471.63	$524.15	$793.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,885.89 / $3,955.13 / $7,696.71	Facility		$1,885.89	$3,955.13	$7,696.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.40 / $594.14 / $827.77	Professional		$469.40	$594.14	$827.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $435.00 / $440.61	Facility		$435.00	$435.00	$440.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $2,530.00	Facility		$1,508.82	$2,001.65	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.37 / $675.67 / $1,049.88	Professional		$483.37	$675.67	$1,049.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $11,500.00 / $26,542.00	Facility		$7,909.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.40 / $3,793.76 / $4,290.83	Professional		$3,692.40	$3,793.76	$4,290.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.21 / $608.41 / $1,084.65	Facility		$481.21	$608.41	$1,084.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $571.37 / $760.17 / $924.12	Professional		$571.37	$760.17	$924.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $732.10 / $1,293.59	Professional		$5.00	$732.10	$1,293.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.10 / $625.12 / $1,142.57	Facility		$482.10	$625.12	$1,142.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $712.54 / $1,248.30	Professional		$500.00	$712.54	$1,248.30
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,563.00	Facility		$597.00	$2,054.00	$4,563.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.93 / $552.86 / $882.01	Professional		$418.93	$552.86	$882.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $424.04 / $495.59 / $670.45	Professional		$424.04	$495.59	$670.45