Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.89 / $3,570.00 / $10,893.00	Facility		$693.89	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.21 / $576.47 / $840.02	Professional		$511.21	$576.47	$840.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.24 / $906.44 / $2,853.96	Facility		$534.24	$906.44	$2,853.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.33 / $653.53 / $907.02	Professional		$514.33	$653.53	$907.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $538.46 / $538.46 / $550.54	Facility		$538.46	$538.46	$550.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.51 / $2,024.00 / $4,619.00	Facility		$630.51	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.41 / $704.62 / $1,052.79	Professional		$514.41	$704.62	$1,052.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,812.34	Facility		$55.00	$55.00	$3,812.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,977.36 / $4,050.16 / $4,839.75	Professional		$3,977.36	$4,050.16	$4,839.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $509.42 / $629.26 / $1,127.57	Facility		$509.42	$629.26	$1,127.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.51 / $838.85 / $986.89	Professional		$630.51	$838.85	$986.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $554.60 / $693.89 / $1,437.60	Professional		$554.60	$693.89	$1,437.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.44 / $630.54 / $1,233.30	Facility		$509.44	$630.54	$1,233.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.08 / $737.50 / $1,376.29	Professional		$525.08	$737.50	$1,376.29
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 $426.26 / $577.07 / $908.33	Professional		$426.26	$577.07	$908.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.93 / $544.33 / $735.62	Professional		$467.93	$544.33	$735.62