Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,290.00 / $7,513.00	Facility		$521.00	$2,290.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.56 / $429.77 / $704.46	Professional		$376.56	$429.77	$704.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,326.83 / $4,352.55 / $8,321.85	Facility		$2,326.83	$4,352.55	$8,321.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.45 / $496.74 / $676.90	Professional		$392.45	$496.74	$676.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $398.64 / $402.48	Facility		$80.00	$398.64	$402.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.07 / $485.07 / $485.07	Facility		$485.07	$485.07	$485.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $555.61 / $849.30	Professional		$415.00	$555.61	$849.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,999.35 / $11,500.00 / $12,000.00	Facility		$1,999.35	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,097.04 / $3,156.64 / $3,686.85	Professional		$3,097.04	$3,156.64	$3,686.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.12 / $501.67 / $781.89	Facility		$401.12	$501.67	$781.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $527.25 / $632.70 / $784.55	Professional		$527.25	$632.70	$784.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $696.96 / $839.78 / $1,613.55	Professional		$696.96	$839.78	$1,613.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.59 / $507.75 / $853.64	Facility		$404.59	$507.75	$853.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.59 / $571.67 / $873.42	Professional		$424.59	$571.67	$873.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $446.10 / $701.46	Professional		$326.16	$446.10	$701.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.99 / $407.25 / $568.46	Professional		$359.99	$407.25	$568.46