Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,620.00 / $12,040.00	Facility		$935.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $806.99 / $1,288.78	Professional		$631.04	$806.99	$1,288.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.11 / $3,214.76 / $6,454.00	Facility		$1,860.11	$3,214.76	$6,454.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.85 / $833.08 / $1,141.00	Professional		$672.85	$833.08	$1,141.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $621.27 / $621.27 / $648.78	Facility		$621.27	$621.27	$648.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.95 / $923.77 / $1,350.29	Professional		$697.95	$923.77	$1,350.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $26,542.00 / $26,542.00	Facility		$6,887.55	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,413.04 / $5,574.16 / $6,129.45	Professional		$5,413.04	$5,574.16	$6,129.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $696.64 / $881.62 / $1,526.28	Facility		$696.64	$881.62	$1,526.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $696.64 / $1,077.63 / $4,663.00	Professional		$696.64	$1,077.63	$4,663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $754.69 / $806.95 / $901.74	Professional		$754.69	$806.95	$901.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.64 / $893.83 / $1,650.00	Facility		$696.64	$893.83	$1,650.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $697.11 / $955.09 / $1,425.15	Professional		$697.11	$955.09	$1,425.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,201.00 / $4,063.00 / $8,226.00	Facility		$1,201.00	$4,063.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.70 / $764.78 / $1,118.79	Professional		$578.70	$764.78	$1,118.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $613.15 / $696.64 / $973.88	Professional		$613.15	$696.64	$973.88