Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,213.00 / $10,836.00	Facility		$727.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.14 / $433.25 / $553.62	Professional		$380.14	$433.25	$553.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,438.73 / $4,350.91 / $8,313.84	Facility		$2,438.73	$4,350.91	$8,313.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.51 / $449.99 / $626.92	Professional		$355.51	$449.99	$626.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $355.13 / $355.13 / $355.13	Facility		$355.13	$355.13	$355.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.46 / $2,280.46 / $2,280.46	Facility		$2,280.46	$2,280.46	$2,280.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.72 / $558.92 / $797.25	Professional		$404.72	$558.92	$797.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $26,542.00 / $26,542.00	Facility		$9,011.04	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,416.61 / $3,416.61 / $3,416.61	Professional		$3,416.61	$3,416.61	$3,416.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.53 / $510.29 / $951.22	Facility		$387.53	$510.29	$951.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $491.15 / $566.72 / $680.06	Professional		$491.15	$566.72	$680.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.27 / $702.87 / $1,418.94	Professional		$471.27	$702.87	$1,418.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.53 / $520.97 / $1,078.99	Facility		$387.53	$520.97	$1,078.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $404.72 / $566.52 / $935.38	Professional		$404.72	$566.52	$935.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,600.00	Facility		$1,634.00	$4,166.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.23 / $462.30 / $729.76	Professional		$352.23	$462.30	$729.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $369.08 / $504.81	Professional		$322.45	$369.08	$504.81