Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,480.00	Facility		$921.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $784.15 / $1,209.35	Professional		$612.11	$784.15	$1,209.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,680.09 / $4,846.93 / $9,381.18	Facility		$2,680.09	$4,846.93	$9,381.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.36 / $807.72 / $1,132.94	Professional		$652.36	$807.72	$1,132.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $601.96 / $601.96 / $628.83	Facility		$601.96	$601.96	$628.83
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 $675.62 / $885.61 / $1,351.24	Professional		$675.62	$885.61	$1,351.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $26,542.00 / $26,542.00	Facility		$9,001.70	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.32 / $5,403.04 / $5,943.98	Professional		$5,250.32	$5,403.04	$5,943.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $617.84 / $840.09 / $1,389.26	Facility		$617.84	$840.09	$1,389.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.62 / $1,045.10 / $5,306.00	Professional		$675.62	$1,045.10	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $644.01 / $736.01 / $853.07	Professional		$644.01	$736.01	$853.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $617.84 / $847.91 / $1,485.00	Facility		$617.84	$847.91	$1,485.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $675.62 / $925.70 / $1,381.77	Professional		$675.62	$925.70	$1,381.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.17 / $739.84 / $1,084.73	Professional		$555.17	$739.84	$1,084.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $594.65 / $675.62 / $944.53	Professional		$594.65	$675.62	$944.53