Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,444.00 / $6,762.00	Facility		$488.00	$2,444.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $506.65 / $3,431.74	Professional		$233.06	$506.65	$3,431.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $883.71 / $1,576.63 / $3,404.31	Facility		$883.71	$1,576.63	$3,404.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.85 / $1,826.78 / $3,247.43	Professional		$218.85	$1,826.78	$3,247.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $209.75 / $209.75 / $2,470.54	Facility		$209.75	$209.75	$2,470.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $3,125.00	Facility		$684.87	$908.58	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $631.45 / $3,880.81	Professional		$276.33	$631.45	$3,880.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,751.74	Facility		$55.00	$55.00	$3,751.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,427.95 / $16,269.25 / $18,816.08	Professional		$8,427.95	$16,269.25	$18,816.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.38 / $712.18 / $3,985.87	Facility		$234.38	$712.18	$3,985.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $300.66 / $2,372.55 / $3,850.00	Professional		$300.66	$2,372.55	$3,850.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.31 / $1,304.33 / $4,312.88	Professional		$230.31	$1,304.33	$4,312.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.38 / $835.61 / $4,234.58	Facility		$234.38	$835.61	$4,234.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.75 / $661.73 / $5,186.04	Professional		$283.75	$661.73	$5,186.04
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.02 / $2,663.83 / $4,731.64	Professional		$509.02	$2,663.83	$4,731.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,840.82 / $2,152.79 / $2,930.01	Professional		$1,840.82	$2,152.79	$2,930.01