Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.22 / $3,174.00 / $10,639.00	Facility		$771.22	$3,174.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.91 / $708.85 / $983.26	Professional		$614.91	$708.85	$983.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,275.00 / $26,360.94 / $52,546.14	Facility		$14,275.00	$26,360.94	$52,546.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.62 / $630.35 / $726.98	Professional		$601.62	$630.35	$726.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $604.41 / $17,006.90 / $17,006.90	Facility		$604.41	$17,006.90	$17,006.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,685.39 / $24,685.39 / $24,685.39	Facility		$24,685.39	$24,685.39	$24,685.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.61 / $887.04 / $1,383.69	Professional		$679.61	$887.04	$1,383.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $97,541.90	Facility		$11,500.00	$26,542.00	$97,541.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,100.00 / $12,100.00 / $12,100.00	Professional		$12,100.00	$12,100.00	$12,100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $652.72 / $848.54 / $1,650.00	Facility		$652.72	$848.54	$1,650.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $847.74 / $997.73 / $1,173.80	Professional		$847.74	$997.73	$1,173.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.30 / $1,012.30 / $1,012.30	Professional		$1,012.30	$1,012.30	$1,012.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $652.72 / $859.55 / $1,703.69	Facility		$652.72	$859.55	$1,703.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $682.33 / $897.40 / $1,481.04	Professional		$682.33	$897.40	$1,481.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $10,580.00 / $33,645.00	Facility		$5,470.00	$10,580.00	$33,645.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.98 / $752.42 / $1,195.98	Professional		$547.98	$752.42	$1,195.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $556.55 / $634.36 / $881.17	Professional		$556.55	$634.36	$881.17