Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,640.00 / $7,542.00	Facility		$652.00	$2,640.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.26 / $481.04 / $734.13	Professional		$428.26	$481.04	$734.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,441.38 / $4,525.47 / $8,902.10	Facility		$2,441.38	$4,525.47	$8,902.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.22 / $521.54 / $759.38	Professional		$396.22	$521.54	$759.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $448.10 / $448.10 / $458.51	Facility		$448.10	$448.10	$458.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $2,599.19 / $11,682.00	Facility		$1,770.00	$2,599.19	$11,682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.99 / $609.51 / $945.38	Professional		$441.99	$609.51	$945.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,500.00 / $11,102.00	Facility		$55.00	$2,500.00	$11,102.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,332.48 / $3,403.68 / $4,053.90	Professional		$3,332.48	$3,403.68	$4,053.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.31 / $545.91 / $1,020.32	Facility		$437.31	$545.91	$1,020.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $528.22 / $702.76 / $854.34	Professional		$528.22	$702.76	$854.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $456.40 / $832.00 / $1,255.36	Professional		$456.40	$832.00	$1,255.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $551.57 / $1,069.61	Facility		$441.66	$551.57	$1,069.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.75 / $638.42 / $1,170.30	Professional		$458.75	$638.42	$1,170.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,600.00	Facility		$1,634.00	$4,166.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.33 / $500.59 / $783.55	Professional		$364.33	$500.59	$783.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.02 / $456.02 / $616.23	Professional		$392.02	$456.02	$616.23