Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,213.00 / $10,836.00	Facility		$767.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.10 / $663.12 / $969.99	Professional		$602.10	$663.12	$969.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.43 / $2,236.00 / $4,663.00	Facility		$1,160.43	$2,236.00	$4,663.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.29 / $783.88 / $893.13	Professional		$619.29	$783.88	$893.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $582.63 / $582.63 / $582.63	Facility		$582.63	$582.63	$582.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.63 / $943.63 / $943.63	Facility		$943.63	$943.63	$943.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.00 / $893.66 / $1,394.55	Professional		$668.00	$893.66	$1,394.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,552.85 / $26,542.00 / $26,542.00	Facility		$4,552.85	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,801.60 / $4,970.72 / $5,598.53	Professional		$4,801.60	$4,970.72	$5,598.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.85 / $842.29 / $1,474.57	Facility		$636.85	$842.29	$1,474.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $841.01 / $989.80 / $1,164.47	Professional		$841.01	$989.80	$1,164.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $785.00 / $785.00	Professional		$785.00	$785.00	$785.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.85 / $856.57 / $1,650.42	Facility		$636.85	$856.57	$1,650.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $675.87 / $910.88 / $1,419.01	Professional		$675.87	$910.88	$1,419.01
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.02 / $758.24 / $1,171.83	Professional		$565.02	$758.24	$1,171.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $552.14 / $625.79 / $873.95	Professional		$552.14	$625.79	$873.95