Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,682.00 / $10,893.00	Facility		$788.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.44 / $720.15 / $1,122.38	Professional		$637.44	$720.15	$1,122.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.22 / $1,164.75 / $5,226.97	Facility		$690.22	$1,164.75	$5,226.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.00 / $768.71 / $1,119.25	Professional		$584.00	$768.71	$1,119.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $663.84 / $663.84 / $686.34	Facility		$663.84	$663.84	$686.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.60 / $2,024.00 / $4,619.00	Facility		$804.60	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.10 / $910.62 / $1,427.52	Professional		$669.10	$910.62	$1,427.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,466.88	Facility		$55.00	$55.00	$6,466.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,037.76 / $5,061.76 / $6,185.40	Professional		$5,037.76	$5,061.76	$6,185.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $668.40 / $839.82 / $1,453.50	Facility		$668.40	$839.82	$1,453.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $804.60 / $1,070.46 / $1,259.36	Professional		$804.60	$1,070.46	$1,259.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $773.40 / $1,747.40	Professional		$7.00	$773.40	$1,747.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $671.33 / $846.37 / $1,560.19	Facility		$671.33	$846.37	$1,560.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $690.47 / $966.84 / $1,725.31	Professional		$690.47	$966.84	$1,725.31
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $755.23 / $1,194.23	Professional		$553.84	$755.23	$1,194.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $597.13 / $694.03 / $936.71	Professional		$597.13	$694.03	$936.71