Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,596.00 / $12,040.00	Facility		$872.00	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.91 / $765.61 / $1,130.50	Professional		$666.91	$765.61	$1,130.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,821.58 / $4,974.93 / $9,452.39	Facility		$2,821.58	$4,974.93	$9,452.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.50 / $804.38 / $1,189.41	Professional		$624.50	$804.38	$1,189.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $685.83 / $685.83 / $708.63	Facility		$685.83	$685.83	$708.63
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 $702.07 / $973.31 / $1,497.76	Professional		$702.07	$973.31	$1,497.76
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 $5,228.32 / $5,341.28 / $6,382.95	Professional		$5,228.32	$5,341.28	$6,382.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.61 / $877.59 / $1,496.00	Facility		$702.61	$877.59	$1,496.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $830.65 / $1,105.11 / $1,343.48	Professional		$830.65	$1,105.11	$1,343.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $709.55 / $931.44 / $1,633.01	Professional		$709.55	$931.44	$1,633.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $703.53 / $895.73 / $1,661.07	Facility		$703.53	$895.73	$1,661.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.47 / $1,018.01 / $1,838.46	Professional		$725.47	$1,018.01	$1,838.46
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 $586.95 / $801.10 / $1,260.96	Professional		$586.95	$801.10	$1,260.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.46 / $716.58 / $967.26	Professional		$616.46	$716.58	$967.26