Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,620.00 / $12,040.00	Facility		$882.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.35 / $639.83 / $972.43	Professional		$559.35	$639.83	$972.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.94 / $4,726.20 / $9,452.39	Facility		$2,642.94	$4,726.20	$9,452.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.89 / $719.98 / $1,003.09	Professional		$558.89	$719.98	$1,003.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $580.24 / $580.24 / $598.07	Facility		$580.24	$580.24	$598.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.38 / $2,418.96 / $3,125.00	Facility		$1,823.38	$2,418.96	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.84 / $802.38 / $1,244.27	Professional		$583.84	$802.38	$1,244.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $11,500.00 / $26,542.00	Facility		$9,558.29	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,178.08 / $5,178.08 / $5,359.95	Professional		$5,178.08	$5,178.08	$5,359.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $589.03 / $721.40 / $1,320.75	Facility		$589.03	$721.40	$1,320.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $697.84 / $928.43 / $1,128.69	Professional		$697.84	$928.43	$1,128.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $599.48 / $785.12 / $1,373.65	Professional		$599.48	$785.12	$1,373.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $589.99 / $730.50 / $1,391.27	Facility		$589.99	$730.50	$1,391.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $850.78 / $1,517.00	Professional		$589.91	$850.78	$1,517.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,600.00	Facility		$1,634.00	$4,166.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.96 / $669.80 / $1,065.76	Professional		$483.96	$669.80	$1,065.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $517.90 / $602.15 / $813.02	Professional		$517.90	$602.15	$813.02