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 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.11 / $717.37 / $1,130.13	Professional		$551.11	$717.37	$1,130.13
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 $588.78 / $728.99 / $1,022.51	Professional		$588.78	$728.99	$1,022.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $547.91 / $547.91 / $572.04	Facility		$547.91	$547.91	$572.04
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 $612.97 / $807.41 / $1,221.76	Professional		$612.97	$807.41	$1,221.76
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 $5,606.00 / $5,606.00 / $5,606.00	Professional		$5,606.00	$5,606.00	$5,606.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $603.12 / $770.84 / $1,244.79	Facility		$603.12	$770.84	$1,244.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $610.88 / $945.65 / $5,306.00	Professional		$610.88	$945.65	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $545.20 / $689.50 / $1,290.26	Professional		$545.20	$689.50	$1,290.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $603.12 / $787.02 / $1,379.63	Facility		$603.12	$787.02	$1,379.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.99 / $837.28 / $1,247.08	Professional		$611.99	$837.28	$1,247.08
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 $505.18 / $669.82 / $1,002.71	Professional		$505.18	$669.82	$1,002.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $538.04 / $610.88 / $854.81	Professional		$538.04	$610.88	$854.81