Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,669.00 / $12,040.00	Facility		$895.00	$3,669.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.75 / $615.99 / $860.23	Professional		$556.75	$615.99	$860.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,758.96 / $6,663.60 / $12,900.05	Facility		$3,758.96	$6,663.60	$12,900.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $670.89 / $934.70	Professional		$526.41	$670.89	$934.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $520.84 / $520.84 / $520.84	Facility		$520.84	$520.84	$520.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,065.00 / $5,065.00 / $5,065.00	Facility		$5,065.00	$5,065.00	$5,065.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.39 / $786.83 / $1,226.05	Professional		$598.39	$786.83	$1,226.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,899.50	Facility		$55.00	$55.00	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,164.00 / $5,164.00 / $5,164.00	Professional		$5,164.00	$5,164.00	$5,164.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.16 / $774.70 / $1,395.00	Facility		$576.16	$774.70	$1,395.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $739.25 / $870.03 / $1,023.57	Professional		$739.25	$870.03	$1,023.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $957.40 / $957.40 / $957.40	Professional		$957.40	$957.40	$957.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.16 / $779.53 / $1,485.00	Facility		$576.16	$779.53	$1,485.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.17 / $801.27 / $1,321.97	Professional		$605.17	$801.27	$1,321.97
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 $485.05 / $666.94 / $1,030.73	Professional		$485.05	$666.94	$1,030.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $485.33 / $554.99 / $767.79	Professional		$485.33	$554.99	$767.79