Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $3,682.00 / $12,040.00	Facility		$896.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.45 / $592.53 / $864.36	Professional		$515.45	$592.53	$864.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,673.52 / $6,450.03 / $13,498.07	Facility		$3,673.52	$6,450.03	$13,498.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.80 / $692.25 / $960.76	Professional		$544.80	$692.25	$960.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $511.68 / $511.68 / $511.68	Facility		$511.68	$511.68	$511.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,194.69 / $3,194.69 / $5,065.00	Facility		$3,194.69	$3,194.69	$5,065.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.07 / $800.09 / $1,232.58	Professional		$590.07	$800.09	$1,232.58
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 $4,239.12 / $4,373.60 / $4,969.72	Professional		$4,239.12	$4,373.60	$4,969.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.04 / $742.42 / $1,317.50	Facility		$570.04	$742.42	$1,317.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $745.13 / $876.97 / $1,031.72	Professional		$745.13	$876.97	$1,031.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $806.50 / $806.50 / $806.50	Professional		$806.50	$806.50	$806.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.04 / $752.60 / $1,518.84	Facility		$570.04	$752.60	$1,518.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $590.07 / $810.42 / $1,267.38	Professional		$590.07	$810.42	$1,267.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.40 / $631.26 / $1,018.93	Professional		$455.40	$631.26	$1,018.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.19 / $557.75 / $771.93	Professional		$489.19	$557.75	$771.93