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 $528.07 / $675.79 / $1,084.33	Professional		$528.07	$675.79	$1,084.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.88 / $3,405.95 / $6,665.77	Facility		$1,045.88	$3,405.95	$6,665.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.71 / $697.95 / $955.93	Professional		$563.71	$697.95	$955.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $523.49 / $523.49 / $546.62	Facility		$523.49	$523.49	$546.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.29 / $765.25 / $1,120.04	Professional		$584.29	$765.25	$1,120.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $26,542.00 / $26,542.00	Facility		$5,819.45	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,145.68 / $5,446.23 / $5,625.95	Professional		$5,145.68	$5,446.23	$5,625.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $518.44 / $752.40 / $1,165.76	Facility		$518.44	$752.40	$1,165.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.29 / $904.41 / $2,042.00	Professional		$584.29	$904.41	$2,042.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.12 / $639.91 / $726.65	Professional		$564.12	$639.91	$726.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.44 / $758.62 / $1,207.32	Facility		$518.44	$758.62	$1,207.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.29 / $799.86 / $1,173.92	Professional		$584.29	$799.86	$1,173.92
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,287.00	Facility		$371.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.71 / $637.66 / $956.51	Professional		$480.71	$637.66	$956.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $514.59 / $584.29 / $817.48	Professional		$514.59	$584.29	$817.48