Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $3,716.00 / $13,478.00	Facility		$893.00	$3,716.00	$13,478.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.42 / $423.97 / $508.82	Professional		$373.42	$423.97	$508.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,596.09 / $4,684.89 / $9,034.04	Facility		$2,596.09	$4,684.89	$9,034.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.89 / $434.01 / $604.67	Professional		$342.89	$434.01	$604.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $333.31 / $333.31 / $333.31	Facility		$333.31	$333.31	$333.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,804.61 / $2,804.61 / $2,804.61	Facility		$2,804.61	$2,804.61	$2,804.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.96 / $516.22 / $815.72	Professional		$390.96	$516.22	$815.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,933.00 / $11,933.00	Facility		$55.00	$11,933.00	$11,933.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,216.38 / $3,251.51 / $3,251.51	Professional		$3,216.38	$3,251.51	$3,251.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.90 / $485.43 / $865.64	Facility		$386.90	$485.43	$865.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $475.59 / $548.76 / $658.51	Professional		$475.59	$548.76	$658.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.97 / $386.90 / $631.39	Professional		$331.97	$386.90	$631.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.90 / $513.95 / $955.92	Facility		$386.90	$513.95	$955.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.90 / $523.17 / $899.31	Professional		$386.90	$523.17	$899.31
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 $323.77 / $431.06 / $669.36	Professional		$323.77	$431.06	$669.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $312.23 / $355.73 / $490.64	Professional		$312.23	$355.73	$490.64