Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,620.00 / $12,040.00	Facility		$882.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.88 / $592.65 / $811.62	Professional		$525.88	$592.65	$811.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,414.83 / $4,527.81 / $8,995.25	Facility		$2,414.83	$4,527.81	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.66 / $608.69 / $912.45	Professional		$457.66	$608.69	$912.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $510.30 / $2,769.55 / $2,769.55	Facility		$510.30	$2,769.55	$2,769.55
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 $575.09 / $763.88 / $1,186.59	Professional		$575.09	$763.88	$1,186.59
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 $5,128.33 / $5,128.33 / $5,128.33	Professional		$5,128.33	$5,128.33	$5,128.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.92 / $729.13 / $1,252.24	Facility		$559.92	$729.13	$1,252.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $721.16 / $848.75 / $998.53	Professional		$721.16	$848.75	$998.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $796.60 / $796.60 / $796.60	Professional		$796.60	$796.60	$796.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.92 / $738.28 / $1,442.47	Facility		$559.92	$738.28	$1,442.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $585.34 / $771.37 / $1,285.29	Professional		$585.34	$771.37	$1,285.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,347.00 / $7,600.00	Facility		$1,154.00	$3,347.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.10 / $627.14 / $1,004.96	Professional		$456.10	$627.14	$1,004.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $473.45 / $541.08 / $749.25	Professional		$473.45	$541.08	$749.25