Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $12,377.00	Facility		$872.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.86 / $423.32 / $629.36	Professional		$378.86	$423.32	$629.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.92 / $436.67 / $620.52	Professional		$365.92	$436.67	$620.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $353.17 / $353.17 / $358.32	Facility		$353.17	$353.17	$358.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,926.05 / $3,881.80 / $6,644.00	Facility		$2,926.05	$3,881.80	$6,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.90 / $553.08 / $862.94	Professional		$411.90	$553.08	$862.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $15,338.55 / $26,542.00	Facility		$12,131.00	$15,338.55	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,345.14 / $3,345.14 / $3,345.14	Professional		$3,345.14	$3,345.14	$3,345.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $393.42 / $510.42 / $914.33	Facility		$393.42	$510.42	$914.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.62 / $596.85 / $725.59	Professional		$448.62	$596.85	$725.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $424.64 / $679.82 / $1,168.20	Professional		$424.64	$679.82	$1,168.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.77 / $514.99 / $937.68	Facility		$393.77	$514.99	$937.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.67 / $580.90 / $1,006.58	Professional		$421.67	$580.90	$1,006.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.69 / $467.47 / $723.96	Professional		$340.69	$467.47	$723.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.94 / $389.74 / $526.73	Professional		$332.94	$389.74	$526.73