Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,181.00 / $7,513.00	Facility		$500.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.45 / $342.28 / $520.96	Professional		$308.45	$342.28	$520.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,092.65 / $2,091.48 / $4,021.03	Facility		$1,092.65	$2,091.48	$4,021.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $388.75 / $539.54	Professional		$305.95	$388.75	$539.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $283.20 / $283.20 / $287.88	Facility		$283.20	$283.20	$287.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,199.20 / $1,487.00 / $1,871.79	Facility		$1,199.20	$1,487.00	$1,871.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.95 / $450.08 / $695.11	Professional		$334.95	$450.08	$695.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,286.30 / $11,500.00 / $12,000.00	Facility		$6,286.30	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,412.71 / $2,475.52 / $2,799.08	Professional		$2,412.71	$2,475.52	$2,799.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.50 / $425.11 / $735.89	Facility		$322.50	$425.11	$735.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $373.11 / $496.39 / $603.46	Professional		$373.11	$496.39	$603.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $560.50 / $839.10	Professional		$5.00	$560.50	$839.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.62 / $434.12 / $754.68	Facility		$323.62	$434.12	$754.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.99 / $473.59 / $819.84	Professional		$340.99	$473.59	$819.84
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 $276.02 / $379.52 / $590.79	Professional		$276.02	$379.52	$590.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $323.62 / $437.60	Professional		$276.89	$323.62	$437.60