Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,174.00 / $10,836.00	Facility		$625.00	$3,174.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.69 / $386.45 / $588.53	Professional		$246.69	$386.45	$588.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,309.44 / $2,195.73 / $4,663.00	Facility		$1,309.44	$2,195.73	$4,663.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.30 / $386.15 / $556.65	Professional		$250.30	$386.15	$556.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $254.51 / $1,344.41 / $1,344.41	Facility		$254.51	$1,344.41	$1,344.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.36 / $464.36 / $464.36	Facility		$464.36	$464.36	$464.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.24 / $448.10 / $734.21	Professional		$291.24	$448.10	$734.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,298.40 / $11,500.00 / $26,542.00	Facility		$1,298.40	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,024.40 / $3,043.20 / $3,523.58	Professional		$2,024.40	$3,043.20	$3,523.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.56 / $423.53 / $651.96	Facility		$274.56	$423.53	$651.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $351.12 / $502.37 / $734.78	Professional		$351.12	$502.37	$734.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $519.82 / $1,054.13	Professional		$278.56	$519.82	$1,054.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.91 / $425.71 / $660.29	Facility		$274.91	$425.71	$660.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.86 / $478.63 / $802.81	Professional		$295.86	$478.63	$802.81
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 $333.00 / $455.13 / $715.19	Professional		$333.00	$455.13	$715.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $392.35 / $553.39	Professional		$348.39	$392.35	$553.39