Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,107.00 / $6,762.00	Facility		$521.00	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.36 / $818.86 / $1,543.88	Professional		$372.36	$818.86	$1,543.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.65 / $1,311.12 / $3,975.12	Facility		$776.65	$1,311.12	$3,975.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $730.85 / $1,431.46	Professional		$347.28	$730.85	$1,431.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $350.09 / $350.09 / $882.72	Facility		$350.09	$350.09	$882.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.38 / $1,051.20 / $4,939.00	Facility		$792.38	$1,051.20	$4,939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.60 / $777.04 / $3,621.60	Professional		$403.60	$777.04	$3,621.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,663.16	Facility		$55.00	$55.00	$2,663.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,765.60 / $14,184.47 / $15,571.33	Professional		$4,765.60	$14,184.47	$15,571.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.60 / $840.72 / $3,657.16	Facility		$380.60	$840.72	$3,657.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $477.70 / $947.88 / $1,551.08	Professional		$477.70	$947.88	$1,551.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $4,214.80 / $8,058.50	Professional		$5.00	$4,214.80	$8,058.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.60 / $859.91 / $3,678.52	Facility		$380.60	$859.91	$3,678.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.86 / $913.92 / $3,407.15	Professional		$424.86	$913.92	$3,407.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.19 / $1,247.91 / $4,093.11	Professional		$791.19	$1,247.91	$4,093.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $735.44 / $859.91 / $1,169.22	Professional		$735.44	$859.91	$1,169.22