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 $307.32 / $342.20 / $516.52	Professional		$307.32	$342.20	$516.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,428.01 / $2,563.92 / $5,371.27	Facility		$1,428.01	$2,563.92	$5,371.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $389.21 / $542.26	Professional		$305.39	$389.21	$542.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $325.61 / $325.61 / $331.86	Facility		$325.61	$325.61	$331.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.55 / $1,408.30 / $11,682.00	Facility		$1,061.55	$1,408.30	$11,682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.80 / $433.81 / $670.26	Professional		$312.80	$433.81	$670.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,500.00 / $5,564.75	Facility		$55.00	$1,500.00	$5,564.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,392.88 / $2,442.96 / $2,908.58	Professional		$2,392.88	$2,442.96	$2,908.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.19 / $386.21 / $722.92	Facility		$311.19	$386.21	$722.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $379.05 / $504.30 / $613.07	Professional		$379.05	$504.30	$613.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $329.74 / $598.00 / $915.76	Professional		$329.74	$598.00	$915.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.94 / $391.94 / $746.37	Facility		$313.94	$391.94	$746.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $451.82 / $829.65	Professional		$325.89	$451.82	$829.65
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 $257.68 / $357.50 / $569.72	Professional		$257.68	$357.50	$569.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.31 / $327.32 / $442.54	Professional		$281.31	$327.32	$442.54