Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,224.00 / $10,893.00	Facility		$727.00	$3,224.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.03 / $437.54 / $682.53	Professional		$390.03	$437.54	$682.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.30 / $3,612.38 / $7,196.63	Facility		$1,995.30	$3,612.38	$7,196.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.74 / $455.64 / $677.96	Professional		$353.74	$455.64	$677.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $404.97 / $404.97 / $406.61	Facility		$404.97	$404.97	$406.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $2,006.70 / $2,530.00	Facility		$1,512.62	$2,006.70	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.84 / $558.19 / $876.92	Professional		$408.84	$558.19	$876.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $26,542.00	Facility		$7,929.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,056.96 / $3,117.60 / $3,545.25	Professional		$3,056.96	$3,117.60	$3,545.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.15 / $477.80 / $908.71	Facility		$390.15	$477.80	$908.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $472.42 / $628.52 / $764.09	Professional		$472.42	$628.52	$764.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.88 / $513.88 / $848.92	Professional		$412.88	$513.88	$848.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $482.25 / $957.23	Facility		$392.09	$482.25	$957.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.46 / $583.98 / $1,046.66	Professional		$424.46	$583.98	$1,046.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.28 / $450.00 / $713.14	Professional		$334.28	$450.00	$713.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.61 / $409.95 / $554.99	Professional		$350.61	$409.95	$554.99