Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,124.00 / $6,762.00	Facility		$521.00	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.92 / $506.48 / $718.23	Professional		$342.92	$506.48	$718.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,872.47 / $3,928.93 / $7,696.71	Facility		$1,872.47	$3,928.93	$7,696.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.99 / $505.63 / $704.60	Professional		$331.99	$505.63	$704.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $311.70 / $311.70 / $521.96	Facility		$311.70	$311.70	$521.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $1,813.99 / $2,355.06	Facility		$1,322.00	$1,813.99	$2,355.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.15 / $567.59 / $927.78	Professional		$378.15	$567.59	$927.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,469.30 / $11,500.00 / $12,000.00	Facility		$2,469.30	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,998.00 / $3,913.20 / $4,579.80	Professional		$2,998.00	$3,913.20	$4,579.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $357.20 / $541.79 / $984.73	Facility		$357.20	$541.79	$984.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $456.25 / $652.79 / $950.20	Professional		$456.25	$652.79	$950.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $586.90 / $1,458.50	Professional		$5.00	$586.90	$1,458.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.20 / $546.66 / $1,047.75	Facility		$357.20	$546.66	$1,047.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $609.49 / $1,134.08	Professional		$385.00	$609.49	$1,134.08
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 $397.56 / $538.54 / $859.73	Professional		$397.56	$538.54	$859.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $450.54 / $526.71 / $714.47	Professional		$450.54	$526.71	$714.47