Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,768.00 / $7,542.00	Facility		$803.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.12 / $956.58 / $1,421.67	Professional		$653.12	$956.58	$1,421.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,658.00 / $4,846.93 / $9,318.64	Facility		$2,658.00	$4,846.93	$9,318.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.40 / $976.15 / $1,336.95	Professional		$788.40	$976.15	$1,336.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $747.93 / $747.93 / $781.36	Facility		$747.93	$747.93	$781.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.28 / $984.08 / $1,396.06	Professional		$741.28	$984.08	$1,396.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $16,394.00 / $16,394.00	Facility		$9,001.70	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,180.56 / $6,446.40 / $7,078.13	Professional		$6,180.56	$6,446.40	$7,078.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $744.46 / $953.08 / $1,367.91	Facility		$744.46	$953.08	$1,367.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.23 / $1,236.77 / $5,306.00	Professional		$794.23	$1,236.77	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $765.50 / $931.51 / $1,905.37	Professional		$765.50	$931.51	$1,905.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $745.56 / $971.36 / $1,586.88	Facility		$745.56	$971.36	$1,586.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $757.90 / $1,025.58 / $1,508.32	Professional		$757.90	$1,025.58	$1,508.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,405.00 / $10,600.00	Facility		$1,634.00	$4,405.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.16 / $802.61 / $1,202.45	Professional		$589.16	$802.61	$1,202.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $703.69 / $794.23 / $1,118.64	Professional		$703.69	$794.23	$1,118.64