Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,596.00 / $10,836.00	Facility		$788.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.13 / $745.06 / $1,026.11	Professional		$680.13	$745.06	$1,026.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.73 / $6,474.38 / $14,275.00	Facility		$3,520.73	$6,474.38	$14,275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.86 / $666.22 / $768.35	Professional		$635.86	$666.22	$768.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $613.75 / $613.75 / $613.75	Facility		$613.75	$613.75	$613.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.46 / $953.87 / $1,464.10	Professional		$721.46	$953.87	$1,464.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,302.50	Facility		$55.00	$55.00	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,126.08 / $5,240.88 / $5,831.40	Professional		$5,126.08	$5,240.88	$5,831.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $697.56 / $941.18 / $1,580.01	Facility		$697.56	$941.18	$1,580.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $887.68 / $1,044.73 / $1,229.08	Professional		$887.68	$1,044.73	$1,229.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.70 / $1,095.70 / $1,095.70	Professional		$1,095.70	$1,095.70	$1,095.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $697.56 / $947.48 / $1,783.99	Facility		$697.56	$947.48	$1,783.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $730.57 / $982.30 / $1,499.50	Professional		$730.57	$982.30	$1,499.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $819.82 / $1,266.31	Professional		$595.91	$819.82	$1,266.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $582.77 / $669.51 / $921.06	Professional		$582.77	$669.51	$921.06