Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,213.00 / $10,836.00	Facility		$748.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.86 / $612.88 / $894.32	Professional		$526.86	$612.88	$894.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,580.01 / $4,678.74 / $8,995.25	Facility		$2,580.01	$4,678.74	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.88 / $599.16 / $1,055.70	Professional		$442.88	$599.16	$1,055.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $510.96 / $510.96 / $510.96	Facility		$510.96	$510.96	$510.96
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 $586.03 / $768.62 / $1,188.77	Professional		$586.03	$768.62	$1,188.77
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 $5,158.00 / $5,158.00 / $5,158.00	Professional		$5,158.00	$5,158.00	$5,158.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.87 / $742.90 / $1,259.10	Facility		$561.87	$742.90	$1,259.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.42 / $850.24 / $1,000.28	Professional		$722.42	$850.24	$1,000.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $902.10 / $902.10 / $902.10	Professional		$902.10	$902.10	$902.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.87 / $748.89 / $1,445.04	Facility		$561.87	$748.89	$1,445.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $586.03 / $777.53 / $1,288.31	Professional		$586.03	$777.53	$1,288.31
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 $468.90 / $652.64 / $1,033.89	Professional		$468.90	$652.64	$1,033.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.28 / $542.01 / $750.57	Professional		$474.28	$542.01	$750.57