Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,445.00 / $12,058.00	Facility		$803.00	$3,445.00	$12,058.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.05 / $459.14 / $770.58	Professional		$406.05	$459.14	$770.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.05 / $899.91 / $2,121.10	Facility		$505.05	$899.91	$2,121.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.38 / $528.29 / $719.90	Professional		$417.38	$528.29	$719.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $449.54 / $457.88	Facility		$80.00	$449.54	$457.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.90 / $511.90 / $511.90	Facility		$511.90	$511.90	$511.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.64 / $594.37 / $928.26	Professional		$453.64	$594.37	$928.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $3,609.34	Facility		$55.00	$2,000.00	$3,609.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,231.44 / $3,309.60 / $3,915.38	Professional		$3,231.44	$3,309.60	$3,915.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.04 / $567.70 / $887.27	Facility		$438.04	$567.70	$887.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $555.54 / $666.66 / $826.66	Professional		$555.54	$666.66	$826.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $635.29 / $635.29 / $635.29	Professional		$635.29	$635.29	$635.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.04 / $573.87 / $896.82	Facility		$438.04	$573.87	$896.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.55 / $639.16 / $941.45	Professional		$456.55	$639.16	$941.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $489.59 / $776.17	Professional		$370.07	$489.59	$776.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.32 / $430.49 / $596.65	Professional		$379.32	$430.49	$596.65