Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.05 / $3,894.00 / $11,210.00	Facility		$959.05	$3,894.00	$11,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.72 / $787.05 / $1,206.43	Professional		$699.72	$787.05	$1,206.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,302.00 / $7,298.90 / $15,485.95	Facility		$4,302.00	$7,298.90	$15,485.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.58 / $894.13 / $1,245.73	Professional		$701.58	$894.13	$1,245.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $713.97 / $713.97 / $738.12	Facility		$713.97	$713.97	$738.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.68 / $2,847.00 / $5,292.00	Facility		$873.68	$2,847.00	$5,292.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.68 / $1,015.88 / $1,570.51	Professional		$732.68	$1,015.88	$1,570.51
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 $8,379.35 / $8,379.35 / $8,379.35	Professional		$8,379.35	$8,379.35	$8,379.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $731.17 / $928.71 / $1,695.39	Facility		$731.17	$928.71	$1,695.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $864.87 / $1,150.65 / $1,398.83	Professional		$864.87	$1,150.65	$1,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,101.20 / $1,939.30	Professional		$7.00	$1,101.20	$1,939.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.17 / $947.98 / $1,870.23	Facility		$735.17	$947.98	$1,870.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $769.31 / $1,069.70 / $1,917.61	Professional		$769.31	$1,069.70	$1,917.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,019.00 / $16,000.00	Facility		$2,600.00	$7,019.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.20 / $839.70 / $1,326.05	Professional		$620.20	$839.70	$1,326.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $641.86 / $746.06 / $1,006.97	Professional		$641.86	$746.06	$1,006.97