Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,188.00 / $10,893.00	Facility		$748.00	$3,188.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.59 / $569.46 / $879.66	Professional		$497.59	$569.46	$879.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,563.24 / $6,492.74 / $12,942.77	Facility		$3,563.24	$6,492.74	$12,942.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.29 / $663.10 / $923.85	Professional		$520.29	$663.10	$923.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $490.98 / $6,459.95 / $6,459.95	Facility		$490.98	$6,459.95	$6,459.95
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 $562.41 / $755.45 / $1,178.71	Professional		$562.41	$755.45	$1,178.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $12,623.50	Facility		$55.00	$2,000.00	$12,623.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,263.72 / $5,263.72 / $5,263.72	Professional		$5,263.72	$5,263.72	$5,263.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $547.34 / $698.53 / $1,377.50	Facility		$547.34	$698.53	$1,377.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $715.27 / $841.82 / $990.38	Professional		$715.27	$841.82	$990.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $791.80 / $791.80 / $791.80	Professional		$791.80	$791.80	$791.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.34 / $705.81 / $1,406.79	Facility		$547.34	$705.81	$1,406.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $567.02 / $766.16 / $1,222.95	Professional		$567.02	$766.16	$1,222.95
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 $453.49 / $611.92 / $960.74	Professional		$453.49	$611.92	$960.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $469.59 / $535.23 / $741.19	Professional		$469.59	$535.23	$741.19