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 $543.03 / $632.17 / $913.56	Professional		$543.03	$632.17	$913.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,481.02 / $4,678.74 / $8,995.25	Facility		$2,481.02	$4,678.74	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.00 / $676.74 / $942.84	Professional		$531.00	$676.74	$942.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $525.44 / $525.44 / $525.44	Facility		$525.44	$525.44	$525.44
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 $603.49 / $793.12 / $1,226.20	Professional		$603.49	$793.12	$1,226.20
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 $4,293.28 / $4,388.72 / $4,909.88	Professional		$4,293.28	$4,388.72	$4,909.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.96 / $774.90 / $1,303.44	Facility		$578.96	$774.90	$1,303.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $745.13 / $876.97 / $1,031.72	Professional		$745.13	$876.97	$1,031.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $687.91 / $687.91 / $834.70	Professional		$687.91	$687.91	$834.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.96 / $774.90 / $1,490.52	Facility		$578.96	$774.90	$1,490.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $603.49 / $805.67 / $1,239.06	Professional		$603.49	$805.67	$1,239.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.10 / $675.27 / $1,069.38	Professional		$491.10	$675.27	$1,069.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.19 / $559.45 / $773.90	Professional		$489.19	$559.45	$773.90