Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,894.00 / $11,210.00	Facility		$945.00	$3,894.00	$11,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.82 / $681.63 / $1,036.94	Professional		$600.82	$681.63	$1,036.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,398.91 / $7,492.25 / $14,839.49	Facility		$4,398.91	$7,492.25	$14,839.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.07 / $712.97 / $1,068.77	Professional		$536.07	$712.97	$1,068.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $617.47 / $617.47 / $636.83	Facility		$617.47	$617.47	$636.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.26 / $2,847.00 / $5,292.00	Facility		$749.26	$2,847.00	$5,292.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.67 / $870.22 / $1,340.98	Professional		$647.67	$870.22	$1,340.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $13,486.75	Facility		$55.00	$10,160.00	$13,486.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,333.07 / $5,333.07 / $5,717.10	Professional		$5,333.07	$5,333.07	$5,717.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $628.45 / $789.46 / $1,447.36	Facility		$628.45	$789.46	$1,447.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $743.97 / $989.80 / $1,203.29	Professional		$743.97	$989.80	$1,203.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $918.20 / $1,668.50	Professional		$7.00	$918.20	$1,668.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $628.45 / $806.49 / $1,484.32	Facility		$628.45	$806.49	$1,484.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.30 / $911.25 / $1,641.45	Professional		$666.30	$911.25	$1,641.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $6,760.00 / $16,000.00	Facility		$2,605.00	$6,760.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $714.76 / $1,125.91	Professional		$522.90	$714.76	$1,125.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $552.14 / $641.85 / $866.54	Professional		$552.14	$641.85	$866.54