Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.46 / $4,149.00 / $11,210.00	Facility		$997.46	$4,149.00	$11,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.66 / $706.92 / $1,115.90	Professional		$604.66	$706.92	$1,115.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,492.25 / $14,501.13	Facility		$4,156.99	$7,492.25	$14,501.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.29 / $753.49 / $1,049.78	Professional		$595.29	$753.49	$1,049.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $583.03 / $583.03 / $583.03	Facility		$583.03	$583.03	$583.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $4,105.82	Facility		$4,105.82	$4,105.82	$4,105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.94 / $890.38 / $1,379.58	Professional		$671.94	$890.38	$1,379.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $26,542.00	Facility		$12,131.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,850.93 / $4,888.96 / $5,463.15	Professional		$4,850.93	$4,888.96	$5,463.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $644.08 / $858.77 / $1,453.18	Facility		$644.08	$858.77	$1,453.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $829.66 / $976.45 / $1,148.76	Professional		$829.66	$976.45	$1,148.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $765.85 / $765.85 / $982.40	Professional		$765.85	$765.85	$982.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.08 / $861.80 / $1,659.57	Facility		$644.08	$861.80	$1,659.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $671.94 / $915.30 / $1,522.36	Professional		$671.94	$915.30	$1,522.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,400.00 / $16,000.00	Facility		$2,608.00	$7,400.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.62 / $754.01 / $1,211.23	Professional		$567.62	$754.01	$1,211.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $544.67 / $623.41 / $861.58	Professional		$544.67	$623.41	$861.58