Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,107.00 / $6,762.00	Facility		$488.00	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $385.58 / $807.60	Professional		$63.30	$385.58	$807.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.60 / $776.35 / $2,826.33	Facility		$451.60	$776.35	$2,826.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $479.66 / $843.48	Professional		$60.64	$479.66	$843.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $660.84	Facility		$61.00	$61.00	$660.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.19 / $794.90 / $2,530.00	Facility		$599.19	$794.90	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $399.66 / $1,072.07	Professional		$74.29	$399.66	$1,072.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,115.38	Facility		$55.00	$55.00	$1,115.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,306.65 / $4,529.80 / $5,173.13	Professional		$2,306.65	$4,529.80	$5,173.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $355.42 / $907.32	Facility		$64.78	$355.42	$907.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $651.49 / $1,066.07	Professional		$83.27	$651.49	$1,066.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $145.75 / $1,939.40	Professional		$4.00	$145.75	$1,939.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $412.60 / $974.40	Facility		$64.78	$412.60	$974.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $501.38 / $1,387.92	Professional		$76.90	$501.38	$1,387.92
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 $481.94 / $663.47 / $1,062.26	Professional		$481.94	$663.47	$1,062.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $505.48 / $591.02 / $804.42	Professional		$505.48	$591.02	$804.42