Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,188.00 / $10,836.00	Facility		$732.00	$3,188.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.37 / $260.39 / $332.76	Professional		$229.37	$260.39	$332.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,327.01 / $2,626.12 / $4,914.85	Facility		$1,327.01	$2,626.12	$4,914.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $269.55 / $376.70	Professional		$212.16	$269.55	$376.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $215.59 / $215.59 / $215.59	Facility		$215.59	$215.59	$215.59
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 $248.61 / $321.62 / $486.74	Professional		$248.61	$321.62	$486.74
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 $1,649.28 / $1,688.72 / $2,010.45	Professional		$1,649.28	$1,688.72	$2,010.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.98 / $310.72 / $523.52	Facility		$226.98	$310.72	$523.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.04 / $341.58 / $409.90	Professional		$296.04	$341.58	$409.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $424.44 / $863.68	Professional		$285.26	$424.44	$863.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.98 / $318.75 / $651.04	Facility		$226.98	$318.75	$651.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.61 / $334.91 / $524.60	Professional		$248.61	$334.91	$524.60
United Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $1,529.00 / $3,287.00	Facility		$365.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.93 / $268.76 / $425.62	Professional		$201.93	$268.76	$425.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.35 / $221.84 / $304.75	Professional		$194.35	$221.84	$304.75