Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,244.00 / $7,513.00	Facility		$569.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.25 / $571.77 / $1,202.30	Professional		$440.25	$571.77	$1,202.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.83 / $2,637.00 / $5,295.60	Facility		$1,495.83	$2,637.00	$5,295.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $532.09 / $563.24	Facility		$80.00	$532.09	$563.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.80 / $661.80 / $661.80	Facility		$661.80	$661.80	$661.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.97 / $743.90 / $1,364.04	Professional		$523.97	$743.90	$1,364.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,295.38 / $11,500.00 / $12,000.00	Facility		$3,295.38	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,061.52 / $14,693.94 / $14,693.94	Professional		$4,061.52	$14,693.94	$14,693.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.80 / $870.66 / $3,001.12	Facility		$504.80	$870.66	$3,001.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $712.44 / $854.93 / $1,060.10	Professional		$712.44	$854.93	$1,060.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $686.20 / $686.20 / $686.20	Professional		$686.20	$686.20	$686.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.80 / $873.26 / $2,945.68	Facility		$504.80	$873.26	$2,945.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $534.28 / $762.48 / $1,364.04	Professional		$534.28	$762.48	$1,364.04
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.99 / $644.46 / $1,950.91	Professional		$432.99	$644.46	$1,950.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.44 / $552.83 / $755.96	Professional		$486.44	$552.83	$755.96