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 $482.53 / $554.16 / $809.05	Professional		$482.53	$554.16	$809.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,861.93 / $6,407.31 / $11,522.94	Facility		$2,861.93	$6,407.31	$11,522.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.04 / $616.24 / $897.25	Professional		$450.04	$616.24	$897.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $478.19 / $478.19 / $478.19	Facility		$478.19	$478.19	$478.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,194.69 / $3,194.69 / $3,194.69	Facility		$3,194.69	$3,194.69	$3,194.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.57 / $746.38 / $1,158.34	Professional		$552.57	$746.38	$1,158.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,654.64 / $5,060.51 / $5,199.17	Professional		$4,654.64	$5,060.51	$5,199.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $534.65 / $702.70 / $1,164.24	Facility		$534.65	$702.70	$1,164.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $697.62 / $821.04 / $965.93	Professional		$697.62	$821.04	$965.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $777.00 / $777.00 / $777.00	Professional		$777.00	$777.00	$777.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.36 / $706.73 / $1,408.59	Facility		$535.36	$706.73	$1,408.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $552.57 / $781.10 / $1,214.67	Professional		$552.57	$781.10	$1,214.67
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 $467.60 / $622.89 / $985.76	Professional		$467.60	$622.89	$985.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $521.97 / $722.74	Professional		$458.00	$521.97	$722.74