Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.89 / $2,986.00 / $9,961.00	Facility		$444.89	$2,986.00	$9,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.86 / $383.59 / $570.86	Professional		$274.86	$383.59	$570.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.85 / $3,958.31 / $7,726.91	Facility		$2,016.85	$3,958.31	$7,726.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.94 / $364.47 / $605.96	Professional		$261.94	$364.47	$605.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $250.85 / $250.85 / $373.49	Facility		$250.85	$250.85	$373.49
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 $301.85 / $437.24 / $702.33	Professional		$301.85	$437.24	$702.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,965.24 / $11,500.00 / $26,542.00	Facility		$1,965.24	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.71 / $2,807.92 / $3,291.83	Professional		$2,070.71	$2,807.92	$3,291.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.35 / $398.93 / $674.08	Facility		$280.35	$398.93	$674.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.90 / $492.83 / $682.38	Professional		$362.90	$492.83	$682.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $449.40 / $1,037.50	Professional		$5.00	$449.40	$1,037.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.35 / $402.34 / $784.65	Facility		$280.35	$402.34	$784.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.43 / $473.45 / $850.11	Professional		$310.43	$473.45	$850.11
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 $317.58 / $422.79 / $649.08	Professional		$317.58	$422.79	$649.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.55 / $378.21 / $513.12	Professional		$323.55	$378.21	$513.12