Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.18 / $3,060.00 / $10,048.00	Facility		$414.18	$3,060.00	$10,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $348.35 / $526.16	Professional		$221.89	$348.35	$526.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,947.75 / $3,955.13 / $7,696.71	Facility		$1,947.75	$3,955.13	$7,696.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.96 / $369.36 / $585.13	Professional		$215.96	$369.36	$585.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $204.90 / $373.42	Facility		$204.90	$204.90	$373.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $2,530.00	Facility		$1,508.82	$2,001.65	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.08 / $395.90 / $646.04	Professional		$248.08	$395.90	$646.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,620.96 / $11,500.00 / $26,542.00	Facility		$1,620.96	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,708.88 / $2,818.32 / $3,309.23	Professional		$1,708.88	$2,818.32	$3,309.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.61 / $366.09 / $614.91	Facility		$228.61	$366.09	$614.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $437.83 / $685.30	Professional		$299.39	$437.83	$685.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $351.80 / $1,070.40	Professional		$5.00	$351.80	$1,070.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.61 / $371.21 / $664.08	Facility		$229.61	$371.21	$664.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.38 / $436.23 / $781.82	Professional		$254.38	$436.23	$781.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,226.00 / $7,600.00	Facility		$1,190.00	$3,226.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.50 / $379.38 / $600.53	Professional		$281.50	$379.38	$600.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $324.93 / $379.85 / $515.63	Professional		$324.93	$379.85	$515.63