Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,213.00 / $10,836.00	Facility		$759.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.44 / $669.42 / $906.21	Professional		$605.44	$669.42	$906.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,173.72 / $6,406.00 / $12,610.23	Facility		$3,173.72	$6,406.00	$12,610.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.88 / $730.11 / $1,017.21	Professional		$572.88	$730.11	$1,017.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $567.03 / $567.03 / $567.03	Facility		$567.03	$567.03	$567.03
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 $651.53 / $851.99 / $1,322.25	Professional		$651.53	$851.99	$1,322.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,405.71 / $5,405.71 / $5,405.71	Professional		$5,405.71	$5,405.71	$5,405.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $626.42 / $835.22 / $1,399.71	Facility		$626.42	$835.22	$1,399.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $804.84 / $947.24 / $1,114.40	Professional		$804.84	$947.24	$1,114.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $879.70 / $879.70 / $879.70	Professional		$879.70	$879.70	$879.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.42 / $840.07 / $1,608.08	Facility		$626.42	$840.07	$1,608.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $651.53 / $863.76 / $1,426.00	Professional		$651.53	$863.76	$1,426.00
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 $527.49 / $725.30 / $1,202.01	Professional		$527.49	$725.30	$1,202.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $528.39 / $604.14 / $835.96	Professional		$528.39	$604.14	$835.96