Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,188.00 / $10,707.20	Facility		$797.00	$3,188.00	$10,707.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.77 / $764.67 / $1,050.20	Professional		$656.77	$764.67	$1,050.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,686.50 / $4,829.66 / $8,904.69	Facility		$2,686.50	$4,829.66	$8,904.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.19 / $673.91 / $777.22	Professional		$643.19	$673.91	$777.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $635.40 / $635.40 / $635.40	Facility		$635.40	$635.40	$635.40
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 $730.68 / $961.42 / $1,483.19	Professional		$730.68	$961.42	$1,483.19
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 $5,200.24 / $5,313.52 / $5,945.33	Professional		$5,200.24	$5,313.52	$5,945.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $701.14 / $927.47 / $1,570.84	Facility		$701.14	$927.47	$1,570.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $902.41 / $1,062.06 / $1,249.49	Professional		$902.41	$1,062.06	$1,249.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.70 / $1,121.70 / $1,121.70	Professional		$1,121.70	$1,121.70	$1,121.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.14 / $936.64 / $1,805.44	Facility		$701.14	$936.64	$1,805.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $730.68 / $976.60 / $1,496.86	Professional		$730.68	$976.60	$1,496.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.02 / $815.06 / $1,260.18	Professional		$593.02	$815.06	$1,260.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $592.44 / $677.55 / $937.26	Professional		$592.44	$677.55	$937.26