Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,783.00 / $7,542.00	Facility		$652.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $348.38 / $560.90	Professional		$302.33	$348.38	$560.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.96 / $4,243.05 / $8,403.96	Facility		$2,189.96	$4,243.05	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.27 / $402.85 / $548.95	Professional		$318.27	$402.85	$548.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $328.13 / $329.96	Facility		$80.00	$328.13	$329.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.30 / $394.30 / $394.30	Facility		$394.30	$394.30	$394.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.81 / $444.33 / $683.40	Professional		$334.81	$444.33	$683.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,299.32 / $11,500.00 / $16,394.00	Facility		$1,299.32	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,911.00 / $2,911.00 / $2,999.48	Professional		$2,911.00	$2,911.00	$2,999.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.11 / $405.02 / $639.54	Facility		$322.11	$405.02	$639.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $428.59 / $514.30 / $637.74	Professional		$428.59	$514.30	$637.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $402.36 / $611.85 / $1,304.19	Professional		$402.36	$611.85	$1,304.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.52 / $408.73 / $683.63	Facility		$322.52	$408.73	$683.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.51 / $460.25 / $695.89	Professional		$339.51	$460.25	$695.89
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 $262.82 / $358.27 / $556.16	Professional		$262.82	$358.27	$556.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.63 / $330.48 / $462.29	Professional		$292.63	$330.48	$462.29