Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,925.00 / $11,143.00	Facility		$983.00	$3,925.00	$11,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.53 / $759.39 / $1,179.29	Professional		$618.53	$759.39	$1,179.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,540.59 / $14,722.87	Facility		$4,156.99	$7,540.59	$14,722.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.41 / $865.06 / $1,273.03	Professional		$650.41	$865.06	$1,273.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $694.70 / $694.70 / $694.70	Facility		$694.70	$694.70	$694.70
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 $751.78 / $996.46 / $1,553.95	Professional		$751.78	$996.46	$1,553.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $16,223.75	Facility		$55.00	$10,160.00	$16,223.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,540.48 / $5,715.28 / $6,917.03	Professional		$5,540.48	$5,715.28	$6,917.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $752.63 / $995.84 / $1,706.07	Facility		$752.63	$995.84	$1,706.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.11 / $1,185.29 / $1,394.46	Professional		$1,007.11	$1,185.29	$1,394.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $655.50 / $655.50 / $655.50	Professional		$655.50	$655.50	$655.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $754.30 / $1,008.96 / $1,746.31	Facility		$754.30	$1,008.96	$1,746.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $759.80 / $1,040.79 / $1,624.02	Professional		$759.80	$1,040.79	$1,624.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,400.00 / $16,000.00	Facility		$2,608.00	$7,400.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.29 / $891.84 / $1,381.40	Professional		$631.29	$891.84	$1,381.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $661.18 / $752.63 / $1,034.14	Professional		$661.18	$752.63	$1,034.14