Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.99 / $3,620.00 / $12,040.00	Facility		$884.99	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.26 / $613.52 / $857.34	Professional		$551.26	$613.52	$857.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,837.43 / $4,980.59 / $9,266.92	Facility		$2,837.43	$4,980.59	$9,266.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.49 / $668.94 / $931.99	Professional		$528.49	$668.94	$931.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $520.22 / $520.22 / $520.22	Facility		$520.22	$520.22	$520.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.54 / $779.78 / $1,211.08	Professional		$591.54	$779.78	$1,211.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,677.00 / $9,677.00 / $9,677.00	Professional		$9,677.00	$9,677.00	$9,677.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.76 / $738.28 / $1,280.52	Facility		$573.76	$738.28	$1,280.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $737.14 / $867.56 / $1,020.65	Professional		$737.14	$867.56	$1,020.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.60 / $831.60 / $831.60	Professional		$831.60	$831.60	$831.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.76 / $745.10 / $1,473.36	Facility		$573.76	$745.10	$1,473.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.03 / $788.62 / $1,313.47	Professional		$597.03	$788.62	$1,313.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.74 / $663.76 / $1,025.81	Professional		$482.74	$663.76	$1,025.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $483.94 / $553.12 / $765.72	Professional		$483.94	$553.12	$765.72