Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,570.00 / $12,040.00	Facility		$895.00	$3,570.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.43 / $765.34 / $1,107.93	Professional		$657.43	$765.34	$1,107.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.13 / $4,819.47 / $9,265.83	Facility		$2,705.13	$4,819.47	$9,265.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.91 / $820.11 / $1,142.58	Professional		$647.91	$820.11	$1,142.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $636.29 / $636.29 / $636.29	Facility		$636.29	$636.29	$636.29
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 $731.71 / $958.07 / $1,484.48	Professional		$731.71	$958.07	$1,484.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,558.29	Facility		$55.00	$55.00	$9,558.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,202.96 / $5,320.08 / $5,947.95	Professional		$5,202.96	$5,320.08	$5,947.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $701.59 / $916.96 / $1,571.60	Facility		$701.59	$916.96	$1,571.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $902.82 / $1,062.55 / $1,250.06	Professional		$902.82	$1,062.55	$1,250.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,035.00 / $1,035.00	Professional		$1,035.00	$1,035.00	$1,035.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.59 / $928.76 / $1,806.30	Facility		$701.59	$928.76	$1,806.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.71 / $971.00 / $1,608.19	Professional		$731.71	$971.00	$1,608.19
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 $593.30 / $815.80 / $1,260.79	Professional		$593.30	$815.80	$1,260.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $592.72 / $677.79 / $937.76	Professional		$592.72	$677.79	$937.76