Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,040.00	Facility		$895.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.63 / $342.76 / $462.09	Professional		$282.63	$342.76	$462.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,080.27 / $8,160.54 / $15,940.25	Facility		$4,080.27	$8,160.54	$15,940.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.02 / $360.77 / $411.05	Professional		$285.02	$360.77	$411.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $259.23 / $259.23 / $259.23	Facility		$259.23	$259.23	$259.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,482.15 / $3,482.15 / $3,482.15	Facility		$3,482.15	$3,482.15	$3,482.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.17 / $418.44 / $649.24	Professional		$318.17	$418.44	$649.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,821.73 / $2,821.73 / $2,821.73	Professional		$2,821.73	$2,821.73	$2,821.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $421.68 / $874.40	Facility		$305.27	$421.68	$874.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.33 / $461.74 / $543.22	Professional		$392.33	$461.74	$543.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $498.50 / $498.50 / $498.50	Professional		$498.50	$498.50	$498.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $430.16 / $874.40	Facility		$305.27	$430.16	$874.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.89 / $426.08 / $657.11	Professional		$324.89	$426.08	$657.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.93 / $355.60 / $547.88	Professional		$259.93	$355.60	$547.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.57 / $294.61 / $406.69	Professional		$257.57	$294.61	$406.69