Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,596.00 / $12,281.00	Facility		$732.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.90 / $753.71 / $1,230.77	Professional		$624.90	$753.71	$1,230.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.43 / $2,733.77 / $6,039.38	Facility		$1,546.43	$2,733.77	$6,039.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.02 / $894.91 / $1,219.48	Professional		$707.02	$894.91	$1,219.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $681.83 / $693.18	Facility		$80.00	$681.83	$693.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $869.70	Facility		$869.70	$869.70	$869.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.94 / $1,017.47 / $1,492.76	Professional		$750.94	$1,017.47	$1,492.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,246.20	Facility		$55.00	$55.00	$5,246.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,573.28 / $5,694.00 / $6,583.35	Professional		$5,573.28	$5,694.00	$6,583.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $689.71 / $893.61 / $1,453.50	Facility		$689.71	$893.61	$1,453.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $887.09 / $1,134.39 / $1,406.64	Professional		$887.09	$1,134.39	$1,406.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $894.80 / $894.80 / $894.80	Professional		$894.80	$894.80	$894.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.60 / $909.57 / $1,484.83	Facility		$692.60	$909.57	$1,484.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $754.32 / $1,041.48 / $1,535.99	Professional		$754.32	$1,041.48	$1,535.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,063.00 / $8,226.00	Facility		$1,391.00	$4,063.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.41 / $778.76 / $1,241.66	Professional		$581.41	$778.76	$1,241.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.45 / $733.08 / $1,018.85	Professional		$645.45	$733.08	$1,018.85