Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,040.00	Facility		$895.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.04 / $584.50 / $801.79	Professional		$504.04	$584.50	$801.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,765.60 / $4,881.66 / $9,390.20	Facility		$2,765.60	$4,881.66	$9,390.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.79 / $649.07 / $904.30	Professional		$512.79	$649.07	$904.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $525.62	Facility		$250.00	$250.00	$525.62
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 $568.63 / $735.26 / $1,116.99	Professional		$568.63	$735.26	$1,116.99
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 $3,963.60 / $4,045.76 / $4,836.00	Professional		$3,963.60	$4,045.76	$4,836.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $531.21 / $676.00 / $1,222.46	Facility		$531.21	$676.00	$1,222.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $711.49 / $837.37 / $985.14	Professional		$711.49	$837.37	$985.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $675.00 / $675.00	Professional		$675.00	$675.00	$675.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.21 / $690.57 / $1,416.59	Facility		$531.21	$690.57	$1,416.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $737.89 / $1,151.93	Professional		$570.00	$737.89	$1,151.93
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 $434.70 / $600.11 / $985.32	Professional		$434.70	$600.11	$985.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $531.21 / $733.39	Professional		$467.10	$531.21	$733.39