Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $1,576.80 / $4,419.00	Facility		$594.00	$1,576.80	$4,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.36 / $603.00 / $1,101.33	Professional		$318.36	$603.00	$1,101.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.09 / $2,754.00 / $5,391.00	Facility		$1,106.09	$2,754.00	$5,391.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $420.75 / $720.00	Professional		$5.00	$420.75	$720.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $900.00 / $900.00	Facility		$80.00	$900.00	$900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.67 / $1,662.70 / $3,832.63	Facility		$421.67	$1,662.70	$3,832.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.10 / $855.04 / $1,417.10	Professional		$422.10	$855.04	$1,417.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $4,275.00 / $4,275.00	Facility		$1,440.00	$4,275.00	$4,275.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $6,750.00	Professional		$4,500.00	$4,500.00	$6,750.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $900.00 / $1,350.00	Facility		$549.00	$900.00	$1,350.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $900.00 / $1,125.00	Professional		$855.00	$900.00	$1,125.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $1,080.00 / $2,025.00	Professional		$585.00	$1,080.00	$2,025.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $978.12 / $2,938.23	Facility		$504.00	$978.12	$2,938.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.16 / $1,035.00 / $1,417.10	Professional		$456.16	$1,035.00	$1,417.10
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $618.75	Professional		$378.00	$378.00	$618.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $900.00 / $1,215.00	Professional		$351.00	$900.00	$1,215.00