Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,620.00 / $12,040.00	Facility		$895.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.85 / $629.75 / $879.83	Professional		$565.85	$629.75	$879.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.64 / $564.37 / $650.88	Professional		$538.64	$564.37	$650.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $534.29 / $534.29 / $534.29	Facility		$534.29	$534.29	$534.29
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 $612.51 / $801.01 / $1,243.14	Professional		$612.51	$801.01	$1,243.14
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 $588.95 / $782.37 / $1,426.00	Facility		$588.95	$782.37	$1,426.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $756.48 / $890.32 / $1,047.44	Professional		$756.48	$890.32	$1,047.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $886.70 / $886.70 / $886.70	Professional		$886.70	$886.70	$886.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.95 / $782.37 / $1,566.48	Facility		$588.95	$782.37	$1,566.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $612.51 / $809.22 / $1,335.35	Professional		$612.51	$809.22	$1,335.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,100.00 / $8,226.00	Facility		$1,284.00	$4,100.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.73 / $681.63 / $1,053.42	Professional		$495.73	$681.63	$1,053.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $496.64 / $567.63 / $785.82	Professional		$496.64	$567.63	$785.82