Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.63 / $2,783.00 / $7,542.00	Facility		$682.63	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.35 / $682.63 / $1,156.64	Professional		$575.35	$682.63	$1,156.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.00 / $3,017.00 / $4,621.18	Facility		$1,310.00	$3,017.00	$4,621.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.45 / $791.67 / $1,078.79	Professional		$625.45	$791.67	$1,078.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $577.53 / $598.10	Facility		$80.00	$577.53	$598.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.06 / $774.06 / $774.06	Facility		$774.06	$774.06	$774.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.57 / $957.81 / $1,416.39	Professional		$697.57	$957.81	$1,416.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,696.51 / $11,500.00 / $16,394.00	Facility		$1,696.51	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,852.16 / $4,956.56 / $5,790.30	Professional		$4,852.16	$4,956.56	$5,790.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.63 / $857.47 / $1,399.00	Facility		$647.63	$857.47	$1,399.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $828.08 / $993.69 / $1,232.18	Professional		$828.08	$993.69	$1,232.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $687.71 / $790.33 / $1,162.05	Professional		$687.71	$790.33	$1,162.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.04 / $861.59 / $1,464.90	Facility		$653.04	$861.59	$1,464.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $697.57 / $982.25 / $1,435.90	Professional		$697.57	$982.25	$1,435.90
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.32 / $752.22 / $1,217.14	Professional		$552.32	$752.22	$1,217.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $565.39 / $646.16 / $888.96	Professional		$565.39	$646.16	$888.96