Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $3,570.00 / $10,893.00	Facility		$799.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.62 / $789.10 / $1,181.20	Professional		$701.62	$789.10	$1,181.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $739.67 / $1,241.11 / $5,604.30	Facility		$739.67	$1,241.11	$5,604.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.52 / $858.19 / $1,222.13	Professional		$691.52	$858.19	$1,222.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $715.03 / $715.03 / $739.46	Facility		$715.03	$715.03	$739.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.60 / $2,024.00 / $4,619.00	Facility		$876.60	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.47 / $1,002.22 / $1,548.92	Professional		$733.47	$1,002.22	$1,548.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,101.20	Facility		$55.00	$55.00	$6,101.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,458.80 / $5,578.64 / $6,666.83	Professional		$5,458.80	$5,578.64	$6,666.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.59 / $898.65 / $1,563.45	Facility		$732.59	$898.65	$1,563.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $867.47 / $1,154.10 / $1,357.78	Professional		$867.47	$1,154.10	$1,357.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $931.20 / $1,325.73 / $2,837.19	Professional		$931.20	$1,325.73	$2,837.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.59 / $909.72 / $1,672.81	Facility		$732.59	$909.72	$1,672.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.18 / $1,063.53 / $1,918.31	Professional		$762.18	$1,063.53	$1,918.31
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 $606.54 / $815.10 / $1,316.30	Professional		$606.54	$815.10	$1,316.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $643.79 / $748.29 / $1,009.94	Professional		$643.79	$748.29	$1,009.94