Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,783.00 / $7,495.00	Facility		$633.00	$2,783.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.17 / $385.38 / $579.84	Professional		$343.17	$385.38	$579.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,780.76 / $3,117.76 / $8,336.27	Facility		$1,780.76	$3,117.76	$8,336.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.97 / $438.02 / $610.11	Professional		$345.97	$438.02	$610.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $362.32 / $362.32 / $370.41	Facility		$362.32	$362.32	$370.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $1,929.30 / $2,361.01	Facility		$1,512.62	$1,929.30	$2,361.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.68 / $492.69 / $757.90	Professional		$367.68	$492.69	$757.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $16,394.00	Facility		$7,929.30	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,015.48 / $4,015.48 / $4,015.48	Professional		$4,015.48	$4,015.48	$4,015.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $349.36 / $430.37 / $817.51	Facility		$349.36	$430.37	$817.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.93 / $566.66 / $688.89	Professional		$425.93	$566.66	$688.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $547.79 / $960.80	Professional		$5.00	$547.79	$960.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.18 / $436.65 / $902.06	Facility		$350.18	$436.65	$902.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.66 / $510.86 / $942.88	Professional		$380.66	$510.86	$942.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,271.00 / $3,866.00 / $7,608.00	Facility		$1,271.00	$3,866.00	$7,608.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $398.49 / $624.85	Professional		$291.51	$398.49	$624.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $367.74 / $497.02	Professional		$316.10	$367.74	$497.02