Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,511.00 / $10,836.00	Facility		$714.00	$3,511.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.50 / $592.51 / $865.67	Professional		$497.50	$592.51	$865.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.75 / $975.39 / $6,241.34	Facility		$545.75	$975.39	$6,241.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.78 / $670.89 / $934.70	Professional		$520.78	$670.89	$934.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $559.24 / $559.24 / $569.86	Facility		$559.24	$559.24	$569.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $2,024.00 / $4,619.00	Facility		$650.60	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.08 / $716.78 / $1,089.61	Professional		$507.08	$716.78	$1,089.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,937.98	Facility		$55.00	$55.00	$3,937.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,108.00 / $4,178.39 / $4,991.18	Professional		$4,108.00	$4,178.39	$4,991.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.90 / $626.78 / $1,160.31	Facility		$508.90	$626.78	$1,160.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $650.60 / $865.58 / $1,018.33	Professional		$650.60	$865.58	$1,018.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $677.30 / $1,483.30	Professional		$5.00	$677.30	$1,483.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.08 / $629.86 / $1,248.45	Facility		$512.08	$629.86	$1,248.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $523.16 / $751.57 / $1,405.73	Professional		$523.16	$751.57	$1,405.73
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.37 / $589.70 / $931.73	Professional		$430.37	$589.70	$931.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $482.84 / $561.83 / $759.60	Professional		$482.84	$561.83	$759.60