Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,925.00 / $10,874.00	Facility		$945.00	$3,925.00	$10,874.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.30 / $733.94 / $1,050.85	Professional		$641.30	$733.94	$1,050.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,298.90 / $14,597.80	Facility		$4,108.64	$7,298.90	$14,597.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.70 / $857.29 / $1,189.82	Professional		$674.70	$857.29	$1,189.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $632.97 / $632.97 / $632.97	Facility		$632.97	$632.97	$632.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $4,105.82	Facility		$4,105.82	$4,105.82	$4,105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.84 / $1,013.75 / $1,534.15	Professional		$737.84	$1,013.75	$1,534.15
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 $7,167.45 / $7,167.45 / $7,167.45	Professional		$7,167.45	$7,167.45	$7,167.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.66 / $968.88 / $1,923.50	Facility		$707.66	$968.88	$1,923.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $923.43 / $1,086.80 / $1,278.58	Professional		$923.43	$1,086.80	$1,278.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.09 / $1,043.09 / $1,043.09	Professional		$1,043.09	$1,043.09	$1,043.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.93 / $987.92 / $1,923.50	Facility		$707.93	$987.92	$1,923.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $737.84 / $1,027.97 / $1,603.45	Professional		$737.84	$1,027.97	$1,603.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $822.10 / $1,307.42	Professional		$615.26	$822.10	$1,307.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $606.25 / $693.46 / $955.71	Professional		$606.25	$693.46	$955.71