Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,186.00 / $10,893.00	Facility		$727.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.15 / $444.93 / $533.60	Professional		$384.15	$444.93	$533.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,688.87 / $4,744.58 / $10,115.79	Facility		$2,688.87	$4,744.58	$10,115.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.90 / $459.34 / $639.96	Professional		$362.90	$459.34	$639.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $350.98 / $4,305.95 / $4,305.95	Facility		$350.98	$4,305.95	$4,305.95
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 $412.27 / $533.79 / $843.65	Professional		$412.27	$533.79	$843.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,082.10	Facility		$55.00	$55.00	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,804.16 / $2,878.64 / $3,381.60	Professional		$2,804.16	$2,878.64	$3,381.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.99 / $468.49 / $892.39	Facility		$382.99	$468.49	$892.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $500.40 / $577.38 / $692.86	Professional		$500.40	$577.38	$692.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $349.24 / $407.70 / $670.80	Professional		$349.24	$407.70	$670.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.99 / $473.46 / $1,011.70	Facility		$382.99	$473.46	$1,011.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.27 / $559.07 / $915.18	Professional		$412.27	$559.07	$915.18
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 $334.62 / $437.07 / $702.52	Professional		$334.62	$437.07	$702.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.52 / $374.79 / $516.08	Professional		$328.52	$374.79	$516.08