Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,700.00 / $4,268.00	Facility		$702.00	$1,700.00	$4,268.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,250.00	Facility		$1,250.00	$1,250.00	$1,250.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $920.00 / $6,317.94 / $6,317.94	Facility		$920.00	$6,317.94	$6,317.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $981.00 / $1,420.00	Facility		$750.00	$981.00	$1,420.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,738.00 / $8,000.00 / $8,000.00	Facility		$7,738.00	$8,000.00	$8,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,885.00 / $1,885.00 / $1,885.00	Facility		$1,885.00	$1,885.00	$1,885.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $811.00 / $926.00 / $1,100.00	Facility		$811.00	$926.00	$1,100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.00 / $960.00 / $1,268.00	Facility		$731.00	$960.00	$1,268.00
United Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $933.00 / $1,900.00	Facility		$478.00	$933.00	$1,900.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $1,025.00 / $1,050.00 / $1,275.00	Facility		$1,025.00	$1,050.00	$1,275.00