Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,673.00 / $7,495.00	Facility		$662.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.61 / $570.70 / $775.84	Professional		$457.61	$570.70	$775.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,904.91 / $7,275.80 / $14,503.08	Facility		$3,904.91	$7,275.80	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.17 / $568.13 / $832.98	Professional		$427.17	$568.13	$832.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $462.66 / $462.66 / $462.66	Facility		$462.66	$462.66	$462.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.30 / $660.30 / $1,021.75	Professional		$505.30	$660.30	$1,021.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,547.20	Facility		$11,500.00	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,832.27 / $6,832.27 / $6,832.27	Professional		$6,832.27	$6,832.27	$6,832.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.90 / $641.97 / $1,469.93	Facility		$484.90	$641.97	$1,469.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $654.29 / $770.06 / $905.96	Professional		$654.29	$770.06	$905.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.60 / $584.60 / $584.60	Professional		$584.60	$584.60	$584.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.90 / $646.35 / $1,519.40	Facility		$484.90	$646.35	$1,519.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.53 / $671.75 / $1,091.58	Professional		$512.53	$671.75	$1,091.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $553.28 / $864.90	Professional		$406.00	$553.28	$864.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $484.90 / $680.68	Professional		$429.56	$484.90	$680.68