Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,281.00	Facility		$935.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.32 / $888.90 / $1,398.32	Professional		$667.32	$888.90	$1,398.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,783.08 / $5,003.30 / $9,224.83	Facility		$2,783.08	$5,003.30	$9,224.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.04 / $912.56 / $1,249.85	Professional		$737.04	$912.56	$1,249.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $689.06 / $689.06 / $719.87	Facility		$689.06	$689.06	$719.87
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 $755.85 / $973.83 / $1,425.04	Professional		$755.85	$973.83	$1,425.04
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 $7,512.52 / $7,512.52 / $7,512.52	Professional		$7,512.52	$7,512.52	$7,512.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $735.94 / $941.95 / $1,468.96	Facility		$735.94	$941.95	$1,468.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $755.85 / $1,172.24 / $5,306.00	Professional		$755.85	$1,172.24	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $761.80 / $761.80 / $761.80	Professional		$761.80	$761.80	$761.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.94 / $956.96 / $1,588.07	Facility		$735.94	$956.96	$1,588.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $755.85 / $1,009.13 / $1,536.53	Professional		$755.85	$1,009.13	$1,536.53
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 $586.27 / $801.55 / $1,196.03	Professional		$586.27	$801.55	$1,196.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $666.98 / $755.85 / $1,059.75	Professional		$666.98	$755.85	$1,059.75