Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.30 / $2,444.00 / $7,078.00	Facility		$381.30	$2,444.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.33 / $327.90 / $490.58	Professional		$237.33	$327.90	$490.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,881.72 / $3,928.93 / $7,696.71	Facility		$1,881.72	$3,928.93	$7,696.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.69 / $314.88 / $513.44	Professional		$224.69	$314.88	$513.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $219.80 / $219.80 / $330.98	Facility		$219.80	$219.80	$330.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $1,924.45 / $2,355.06	Facility		$1,508.82	$1,924.45	$2,355.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $380.88 / $623.22	Professional		$257.89	$380.88	$623.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,684.44 / $11,500.00 / $16,394.00	Facility		$1,684.44	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.32 / $2,441.60 / $2,846.25	Professional		$1,778.32	$2,441.60	$2,846.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.63 / $347.03 / $584.27	Facility		$243.63	$347.03	$584.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.33 / $427.23 / $591.54	Professional		$310.33	$427.23	$591.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $336.20 / $907.20	Professional		$5.00	$336.20	$907.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.99 / $349.56 / $678.46	Facility		$243.99	$349.56	$678.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $419.04 / $735.15	Professional		$269.63	$419.04	$735.15
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.48 / $362.65 / $569.25	Professional		$268.48	$362.65	$569.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.48 / $328.09 / $445.28	Professional		$280.48	$328.09	$445.28