Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.16 / $3,120.00 / $10,836.00	Facility		$551.16	$3,120.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $391.35 / $652.62	Professional		$270.00	$391.35	$652.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,450.03 / $4,544.33 / $9,058.35	Facility		$2,450.03	$4,544.33	$9,058.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.81 / $444.90 / $720.06	Professional		$299.81	$444.90	$720.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $320.48 / $320.48 / $320.48	Facility		$320.48	$320.48	$320.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,207.78 / $2,207.78 / $2,207.78	Facility		$2,207.78	$2,207.78	$2,207.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.22 / $508.78 / $818.08	Professional		$348.22	$508.78	$818.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,655.00 / $26,542.00 / $26,542.00	Facility		$1,655.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,332.88 / $3,355.46 / $3,887.18	Professional		$2,332.88	$3,355.46	$3,887.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.80 / $453.68 / $817.84	Facility		$304.80	$453.68	$817.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.14 / $574.41 / $795.33	Professional		$417.14	$574.41	$795.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $530.60 / $530.60 / $530.60	Professional		$530.60	$530.60	$530.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.66 / $457.40 / $943.41	Facility		$309.66	$457.40	$943.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.31 / $521.09 / $897.77	Professional		$351.31	$521.09	$897.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.43 / $498.34 / $800.10	Professional		$362.43	$498.34	$800.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $377.11 / $423.98 / $595.78	Professional		$377.11	$423.98	$595.78