Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,500.00 / $7,495.00	Facility		$524.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.87 / $449.59 / $671.97	Professional		$324.87	$449.59	$671.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,365.40 / $6,898.68 / $14,939.63	Facility		$3,365.40	$6,898.68	$14,939.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.45 / $436.80 / $701.64	Professional		$304.45	$436.80	$701.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $297.23 / $297.23 / $455.55	Facility		$297.23	$297.23	$455.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $3,533.90 / $4,187.68	Facility		$1,770.00	$3,533.90	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $513.16 / $853.66	Professional		$348.75	$513.16	$853.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,258.40 / $11,500.00 / $16,394.00	Facility		$2,258.40	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,394.00 / $3,250.56 / $3,762.00	Professional		$2,394.00	$3,250.56	$3,762.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.17 / $477.55 / $814.15	Facility		$334.17	$477.55	$814.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $415.88 / $566.84 / $784.85	Professional		$415.88	$566.84	$784.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $539.00 / $1,219.20	Professional		$5.00	$539.00	$1,219.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.58 / $482.98 / $922.93	Facility		$335.58	$482.98	$922.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.63 / $565.33 / $1,000.00	Professional		$365.63	$565.33	$1,000.00
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 $374.96 / $502.86 / $799.78	Professional		$374.96	$502.86	$799.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $372.14 / $435.49 / $590.66	Professional		$372.14	$435.49	$590.66