Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $3,596.00 / $12,281.00	Facility		$893.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $726.84 / $1,013.31	Professional		$634.37	$726.84	$1,013.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,648.55 / $2,852.20 / $5,757.54	Facility		$1,648.55	$2,852.20	$5,757.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.40 / $735.79 / $1,360.45	Professional		$534.40	$735.79	$1,360.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $612.30 / $612.30 / $612.30	Facility		$612.30	$612.30	$612.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.27 / $926.58 / $1,432.94	Professional		$705.27	$926.58	$1,432.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,502.14	Facility		$55.00	$55.00	$5,502.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,016.80 / $5,129.60 / $5,733.68	Professional		$5,016.80	$5,129.60	$5,733.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.09 / $878.92 / $1,518.13	Facility		$676.09	$878.92	$1,518.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.44 / $1,024.44 / $1,205.23	Professional		$870.44	$1,024.44	$1,205.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $996.80 / $996.80 / $996.80	Professional		$996.80	$996.80	$996.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.09 / $893.86 / $1,743.66	Facility		$676.09	$893.86	$1,743.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.27 / $938.08 / $1,529.87	Professional		$705.27	$938.08	$1,529.87
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 $575.85 / $787.62 / $1,268.79	Professional		$575.85	$787.62	$1,268.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $571.46 / $653.75 / $904.01	Professional		$571.46	$653.75	$904.01