Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,550.00 / $7,542.00	Facility		$569.00	$2,550.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.62 / $512.85 / $844.26	Professional		$338.62	$512.85	$844.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,883.14 / $3,640.66 / $7,118.99	Facility		$1,883.14	$3,640.66	$7,118.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.12 / $513.29 / $773.09	Professional		$343.12	$513.29	$773.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $2,629.88 / $2,629.88	Facility		$380.61	$2,629.88	$2,629.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.73 / $683.73 / $683.73	Facility		$683.73	$683.73	$683.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.36 / $606.66 / $960.91	Professional		$408.36	$606.66	$960.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,907.12 / $11,500.00 / $16,394.00	Facility		$1,907.12	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,943.68 / $4,427.68 / $5,267.18	Professional		$2,943.68	$4,427.68	$5,267.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $365.77 / $565.80 / $872.35	Facility		$365.77	$565.80	$872.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.42 / $746.05 / $1,084.11	Professional		$521.42	$746.05	$1,084.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.50 / $584.50 / $584.50	Professional		$584.50	$584.50	$584.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.32 / $573.53 / $882.77	Facility		$369.32	$573.53	$882.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.71 / $646.36 / $1,070.06	Professional		$416.71	$646.36	$1,070.06
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.88 / $594.67 / $929.41	Professional		$434.88	$594.67	$929.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $577.17 / $814.10	Professional		$514.04	$577.17	$814.10