Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,559.64 / $6,529.91	Facility		$657.00	$2,559.64	$6,529.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.11 / $587.64 / $970.27	Professional		$172.11	$587.64	$970.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,629.83 / $2,834.48 / $5,934.69	Facility		$1,629.83	$2,834.48	$5,934.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $575.03 / $1,098.98	Professional		$158.41	$575.03	$1,098.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.12 / $150.12 / $150.12	Facility		$150.12	$150.12	$150.12
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 $196.90 / $565.87 / $1,178.29	Professional		$196.90	$565.87	$1,178.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $838.90 / $16,394.00 / $16,394.00	Facility		$838.90	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.37 / $8,718.02 / $8,979.56	Professional		$2,648.37	$8,718.02	$8,979.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.43 / $626.37 / $2,001.87	Facility		$185.43	$626.37	$2,001.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.66 / $754.68 / $1,234.93	Professional		$218.66	$754.68	$1,234.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $494.90 / $494.90 / $2,191.90	Professional		$494.90	$494.90	$2,191.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $643.52 / $2,024.33	Facility		$185.61	$643.52	$2,024.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.68 / $684.38 / $1,308.82	Professional		$198.68	$684.38	$1,308.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,293.00 / $7,600.00	Facility		$1,154.00	$3,293.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.27 / $792.86 / $1,528.91	Professional		$563.27	$792.86	$1,528.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $585.54 / $654.41 / $930.85	Professional		$585.54	$654.41	$930.85