Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.14 / $3,620.00 / $12,040.00	Facility		$890.14	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.28 / $634.76 / $962.35	Professional		$561.28	$634.76	$962.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.94 / $4,788.38 / $9,421.29	Facility		$2,642.94	$4,788.38	$9,421.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.29 / $710.24 / $989.52	Professional		$557.29	$710.24	$989.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $571.25 / $571.25 / $589.22	Facility		$571.25	$571.25	$589.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.38 / $2,418.96 / $6,644.00	Facility		$1,823.38	$2,418.96	$6,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.36 / $791.46 / $1,250.43	Professional		$578.36	$791.46	$1,250.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $13,152.00 / $26,542.00	Facility		$9,558.29	$13,152.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,724.88 / $4,724.88 / $5,285.03	Professional		$4,724.88	$4,724.88	$5,285.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $580.99 / $719.15 / $1,302.93	Facility		$580.99	$719.15	$1,302.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.80 / $915.08 / $1,112.45	Professional		$687.80	$915.08	$1,112.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $589.40 / $761.52 / $1,353.31	Professional		$589.40	$761.52	$1,353.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.11 / $723.07 / $1,372.50	Facility		$581.11	$723.07	$1,372.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.16 / $838.61 / $1,516.71	Professional		$601.16	$838.61	$1,516.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.93 / $664.11 / $1,040.29	Professional		$482.93	$664.11	$1,040.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $510.45 / $593.40 / $801.13	Professional		$510.45	$593.40	$801.13