Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $2,131.00 / $7,513.00	Facility		$578.29	$2,131.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.29 / $655.72 / $1,038.92	Professional		$578.29	$655.72	$1,038.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.79 / $9,027.12 / $18,228.96	Facility		$5,299.79	$9,027.12	$18,228.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.97 / $848.55 / $1,346.07	Professional		$592.97	$848.55	$1,346.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $5,487.01 / $5,487.01	Facility		$619.79	$5,487.01	$5,487.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,434.96 / $4,434.96 / $4,434.96	Facility		$4,434.96	$4,434.96	$4,434.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.06 / $941.16 / $1,425.09	Professional		$737.06	$941.16	$1,425.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,524.30	Facility		$55.00	$55.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,290.72 / $5,421.36 / $6,129.08	Professional		$5,290.72	$5,421.36	$6,129.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $608.84 / $761.87 / $1,543.04	Facility		$608.84	$761.87	$1,543.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $924.27 / $1,087.80 / $1,279.76	Professional		$924.27	$1,087.80	$1,279.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $709.23 / $709.23 / $796.50	Professional		$709.23	$709.23	$796.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $618.15 / $786.86 / $1,641.45	Facility		$618.15	$786.86	$1,641.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $737.06 / $959.96 / $1,441.95	Professional		$737.06	$959.96	$1,441.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.62 / $780.47 / $1,238.58	Professional		$567.62	$780.47	$1,238.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $606.79 / $692.61 / $958.81	Professional		$606.79	$692.61	$958.81