Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,620.00 / $12,040.00	Facility		$895.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.61 / $755.43 / $1,035.42	Professional		$648.61	$755.43	$1,035.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,665.26 / $2,905.34 / $5,934.88	Facility		$1,665.26	$2,905.34	$5,934.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.67 / $756.96 / $1,170.51	Professional		$587.67	$756.96	$1,170.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $625.15 / $625.15 / $625.15	Facility		$625.15	$625.15	$625.15
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 $720.66 / $948.21 / $1,465.26	Professional		$720.66	$948.21	$1,465.26
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 $6,017.00 / $6,017.00 / $6,017.00	Professional		$6,017.00	$6,017.00	$6,017.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $690.76 / $913.16 / $1,555.57	Facility		$690.76	$913.16	$1,555.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $889.37 / $1,046.72 / $1,231.43	Professional		$889.37	$1,046.72	$1,231.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.59 / $1,071.59 / $1,071.59	Professional		$1,071.59	$1,071.59	$1,071.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $690.76 / $923.38 / $1,780.56	Facility		$690.76	$923.38	$1,780.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $720.66 / $963.37 / $1,593.39	Professional		$720.66	$963.37	$1,593.39
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 $586.96 / $807.07 / $1,278.10	Professional		$586.96	$807.07	$1,278.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $583.88 / $668.01 / $923.68	Professional		$583.88	$668.01	$923.68