Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,224.00 / $11,453.00	Facility		$732.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.34 / $438.04 / $732.15	Professional		$390.34	$438.04	$732.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,785.56 / $9,032.74 / $17,945.84	Facility		$4,785.56	$9,032.74	$17,945.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.10 / $470.85 / $670.53	Professional		$386.10	$470.85	$670.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $389.79 / $391.38	Facility		$80.00	$389.79	$391.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $487.10 / $487.10	Facility		$487.10	$487.10	$487.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.83 / $593.26 / $922.76	Professional		$430.83	$593.26	$922.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,583.60 / $26,542.00 / $32,146.50	Facility		$1,583.60	$26,542.00	$32,146.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,959.35 / $3,959.35 / $3,959.35	Professional		$3,959.35	$3,959.35	$3,959.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $419.60 / $575.42 / $905.01	Facility		$419.60	$575.42	$905.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.01 / $628.82 / $779.73	Professional		$524.01	$628.82	$779.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $395.56 / $523.17 / $736.09	Professional		$395.56	$523.17	$736.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $419.63 / $579.54 / $941.01	Facility		$419.63	$579.54	$941.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $439.43 / $612.45 / $911.28	Professional		$439.43	$612.45	$911.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.28 / $467.62 / $741.33	Professional		$356.28	$467.62	$741.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.78 / $409.02 / $567.84	Professional		$357.78	$409.02	$567.84