Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.95 / $2,500.00 / $7,495.00	Facility		$555.95	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.31 / $479.33 / $671.12	Professional		$331.31	$479.33	$671.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,885.89 / $3,928.93 / $7,696.71	Facility		$1,885.89	$3,928.93	$7,696.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.33 / $439.42 / $728.34	Professional		$282.33	$439.42	$728.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $301.52 / $301.52 / $508.26	Facility		$301.52	$301.52	$508.26
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 $365.56 / $554.62 / $908.09	Professional		$365.56	$554.62	$908.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,388.00 / $11,500.00 / $16,394.00	Facility		$2,388.00	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,998.00 / $3,815.44 / $4,464.45	Professional		$2,998.00	$3,815.44	$4,464.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.76 / $522.38 / $872.10	Facility		$344.76	$522.38	$872.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.10 / $631.12 / $926.33	Professional		$441.10	$631.12	$926.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $541.70 / $1,426.30	Professional		$5.00	$541.70	$1,426.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.79 / $526.66 / $952.90	Facility		$344.79	$526.66	$952.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.51 / $605.65 / $1,104.00	Professional		$371.51	$605.65	$1,104.00
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,475.00	Facility		$597.00	$2,054.00	$4,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.02 / $527.91 / $826.03	Professional		$386.02	$527.91	$826.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.22 / $513.51 / $696.64	Professional		$439.22	$513.51	$696.64