Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,213.00 / $10,893.00	Facility		$755.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.58 / $618.51 / $968.14	Professional		$536.58	$618.51	$968.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,223.31 / $3,971.98 / $7,993.92	Facility		$2,223.31	$3,971.98	$7,993.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.17 / $716.47 / $998.21	Professional		$562.17	$716.47	$998.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $550.09 / $550.09 / $550.09	Facility		$550.09	$550.09	$550.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $2,403.30	Facility		$2,403.30	$2,403.30	$2,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.67 / $790.24 / $1,194.96	Professional		$597.67	$790.24	$1,194.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $26,542.00 / $26,542.00	Facility		$9,496.40	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,407.12 / $4,558.56 / $5,190.22	Professional		$4,407.12	$4,558.56	$5,190.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.15 / $718.79 / $1,259.10	Facility		$562.15	$718.79	$1,259.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.26 / $913.59 / $1,074.82	Professional		$776.26	$913.59	$1,074.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $737.20 / $737.20 / $737.20	Professional		$737.20	$737.20	$737.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.15 / $743.54 / $1,362.94	Facility		$562.15	$743.54	$1,362.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.67 / $802.41 / $1,292.86	Professional		$597.67	$802.41	$1,292.86
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 $461.50 / $646.10 / $1,024.28	Professional		$461.50	$646.10	$1,024.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $509.62 / $579.23 / $804.59	Professional		$509.62	$579.23	$804.59