Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,673.00 / $7,495.00	Facility		$669.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.16 / $668.29 / $926.90	Professional		$602.16	$668.29	$926.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.66 / $728.55 / $1,015.04	Professional		$571.66	$728.55	$1,015.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $565.71 / $565.71 / $565.71	Facility		$565.71	$565.71	$565.71
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 $649.85 / $853.76 / $1,319.30	Professional		$649.85	$853.76	$1,319.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,394.00	Facility		$11,500.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,631.92 / $5,631.92 / $5,631.92	Professional		$5,631.92	$5,631.92	$5,631.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.03 / $833.52 / $1,395.87	Facility		$625.03	$833.52	$1,395.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $803.17 / $945.26 / $1,112.08	Professional		$803.17	$945.26	$1,112.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $915.30 / $915.30 / $915.30	Professional		$915.30	$915.30	$915.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.03 / $838.64 / $1,604.65	Facility		$625.03	$838.64	$1,604.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.85 / $863.25 / $1,435.52	Professional		$649.85	$863.25	$1,435.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,100.00 / $8,326.00	Facility		$1,284.00	$4,100.00	$8,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.33 / $724.27 / $1,118.45	Professional		$526.33	$724.27	$1,118.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $602.86 / $834.21	Professional		$527.29	$602.86	$834.21