Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,224.00 / $11,453.00	Facility		$727.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.69 / $388.58 / $676.17	Professional		$326.69	$388.58	$676.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,403.96	Facility		$2,436.33	$4,325.17	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.89 / $452.87 / $619.03	Professional		$358.89	$452.87	$619.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $375.93 / $385.08	Facility		$80.00	$375.93	$385.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.52 / $444.52 / $444.52	Facility		$444.52	$444.52	$444.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $522.66 / $794.45	Professional		$393.19	$522.66	$794.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,053.61 / $11,500.00 / $26,542.00	Facility		$4,053.61	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,725.46 / $4,725.46 / $4,725.46	Professional		$4,725.46	$4,725.46	$4,725.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $470.37 / $876.96	Facility		$374.00	$470.37	$876.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.18 / $579.80 / $718.96	Professional		$483.18	$579.80	$718.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $431.28 / $529.99 / $1,463.40	Professional		$431.28	$529.99	$1,463.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $486.09 / $899.36	Facility		$374.00	$486.09	$899.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $539.25 / $806.15	Professional		$396.25	$539.25	$806.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $416.01 / $657.35	Professional		$309.02	$416.01	$657.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $374.00 / $518.16	Professional		$329.90	$374.00	$518.16