Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,620.00 / $12,040.00	Facility		$803.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.62 / $528.91 / $726.69	Professional		$454.62	$528.91	$726.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,736.22 / $4,819.47 / $9,328.02	Facility		$2,736.22	$4,819.47	$9,328.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.85 / $566.87 / $789.77	Professional		$447.85	$566.87	$789.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $442.77 / $442.77 / $442.77	Facility		$442.77	$442.77	$442.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,418.96 / $2,418.96 / $2,418.96	Facility		$2,418.96	$2,418.96	$2,418.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.54 / $662.40 / $1,025.89	Professional		$502.54	$662.40	$1,025.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $26,542.00 / $26,542.00	Facility		$9,558.29	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,118.63 / $4,194.54 / $4,194.54	Professional		$4,118.63	$4,194.54	$4,194.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $485.91 / $631.67 / $1,087.22	Facility		$485.91	$631.67	$1,087.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $624.87 / $735.43 / $865.21	Professional		$624.87	$735.43	$865.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $694.10 / $694.10 / $694.10	Professional		$694.10	$694.10	$694.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.91 / $645.79 / $1,248.54	Facility		$485.91	$645.79	$1,248.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $506.47 / $670.44 / $1,112.73	Professional		$506.47	$670.44	$1,112.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $5,210.00 / $10,476.00	Facility		$1,691.00	$5,210.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.98 / $558.59 / $871.20	Professional		$409.98	$558.59	$871.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $468.83 / $649.12	Professional		$410.24	$468.83	$649.12