Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $12,377.00	Facility		$872.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $460.27 / $747.22	Professional		$383.32	$460.27	$747.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,199.06 / $4,112.29 / $7,831.68	Facility		$2,199.06	$4,112.29	$7,831.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.64 / $486.30 / $728.98	Professional		$365.64	$486.30	$728.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $400.45 / $400.45	Facility		$80.00	$400.45	$400.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.45 / $501.45 / $501.45	Facility		$501.45	$501.45	$501.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.86 / $577.50 / $935.86	Professional		$430.86	$577.50	$935.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,457.60 / $11,500.00 / $26,542.00	Facility		$2,457.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,218.40 / $3,319.36 / $3,765.00	Professional		$3,218.40	$3,319.36	$3,765.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.07 / $558.29 / $878.19	Facility		$384.07	$558.29	$878.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $542.61 / $651.14 / $807.41	Professional		$542.61	$651.14	$807.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.10 / $372.10 / $372.10	Professional		$372.10	$372.10	$372.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.60 / $563.05 / $893.60	Facility		$386.60	$563.05	$893.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.06 / $621.86 / $967.50	Professional		$442.06	$621.86	$967.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,239.00 / $7,600.00	Facility		$1,154.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.25 / $482.56 / $759.86	Professional		$361.25	$482.56	$759.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.48 / $417.44 / $587.45	Professional		$370.48	$417.44	$587.45