Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,244.00 / $7,513.00	Facility		$521.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.92 / $420.31 / $675.04	Professional		$358.92	$420.31	$675.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.54 / $4,024.05 / $8,036.39	Facility		$1,995.54	$4,024.05	$8,036.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $390.53 / $393.60	Facility		$80.00	$390.53	$393.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.15 / $476.15 / $476.15	Facility		$476.15	$476.15	$476.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.61 / $530.03 / $798.67	Professional		$403.61	$530.03	$798.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,569.28 / $11,500.00 / $12,000.00	Facility		$1,569.28	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,039.68 / $3,090.16 / $3,620.18	Professional		$3,039.68	$3,090.16	$3,620.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.89 / $466.20 / $738.33	Facility		$375.89	$466.20	$738.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $517.54 / $621.05 / $770.11	Professional		$517.54	$621.05	$770.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $464.09 / $722.16 / $1,574.59	Professional		$464.09	$722.16	$1,574.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.48 / $475.49 / $751.98	Facility		$378.48	$475.49	$751.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.37 / $549.10 / $831.41	Professional		$405.37	$549.10	$831.41
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.79 / $425.82 / $655.74	Professional		$314.79	$425.82	$655.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.37 / $399.33 / $558.17	Professional		$353.37	$399.33	$558.17