Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.35 / $3,682.00 / $12,826.00	Facility		$912.35	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.64 / $572.17 / $954.10	Professional		$497.64	$572.17	$954.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,719.35 / $3,129.22 / $7,126.49	Facility		$1,719.35	$3,129.22	$7,126.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $654.14 / $870.39	Professional		$516.79	$654.14	$870.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $523.07 / $1,412.52 / $1,412.52	Facility		$523.07	$1,412.52	$1,412.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.48 / $679.48 / $679.48	Facility		$679.48	$679.48	$679.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.09 / $785.31 / $1,185.47	Professional		$580.09	$785.31	$1,185.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,326.82 / $13,152.00 / $26,542.00	Facility		$3,326.82	$13,152.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,224.15 / $8,224.15 / $8,224.15	Professional		$8,224.15	$8,224.15	$8,224.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $551.13 / $696.39 / $1,275.78	Facility		$551.13	$696.39	$1,275.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $733.46 / $880.16 / $1,091.39	Professional		$733.46	$880.16	$1,091.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $653.79 / $653.79 / $653.79	Professional		$653.79	$653.79	$653.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.12 / $710.23 / $1,308.35	Facility		$552.12	$710.23	$1,308.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $592.82 / $810.86 / $1,202.48	Professional		$592.82	$810.86	$1,202.48
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 $453.65 / $615.42 / $959.76	Professional		$453.65	$615.42	$959.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.79 / $570.22 / $793.92	Professional		$500.79	$570.22	$793.92