Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,213.00 / $10,836.00	Facility		$747.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.58 / $543.44 / $715.84	Professional		$469.58	$543.44	$715.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,686.50 / $4,799.47 / $8,844.32	Facility		$2,686.50	$4,799.47	$8,844.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.08 / $558.29 / $777.83	Professional		$441.08	$558.29	$777.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $433.88 / $433.88 / $433.88	Facility		$433.88	$433.88	$433.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.65 / $657.07 / $996.67	Professional		$504.65	$657.07	$996.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,840.47 / $3,840.47 / $4,054.28	Professional		$3,840.47	$3,840.47	$4,054.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.89 / $629.89 / $1,076.51	Facility		$496.89	$629.89	$1,076.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $615.20 / $709.85 / $851.81	Professional		$615.20	$709.85	$851.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $439.10 / $799.16 / $1,768.81	Professional		$439.10	$799.16	$1,768.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.89 / $644.25 / $1,329.59	Facility		$496.89	$644.25	$1,329.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $504.65 / $669.18 / $1,063.13	Professional		$504.65	$669.18	$1,063.13
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 $405.07 / $531.66 / $838.13	Professional		$405.07	$531.66	$838.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $403.89 / $461.83 / $638.96	Professional		$403.89	$461.83	$638.96