Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,673.00 / $7,542.00	Facility		$633.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.49 / $285.11 / $450.08	Professional		$261.49	$285.11	$450.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.94 / $4,726.20 / $9,545.67	Facility		$2,642.94	$4,726.20	$9,545.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.24 / $316.83 / $458.61	Professional		$250.24	$316.83	$458.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $251.92 / $251.92 / $258.68	Facility		$251.92	$251.92	$258.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $3,841.34 / $4,552.00	Facility		$1,770.00	$3,841.34	$4,552.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $390.69 / $619.88	Professional		$286.01	$390.69	$619.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $17,986.75	Facility		$11,500.00	$16,394.00	$17,986.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,037.76 / $2,054.26 / $2,269.88	Professional		$2,037.76	$2,054.26	$2,269.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.27 / $382.55 / $658.52	Facility		$266.27	$382.55	$658.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $407.81 / $495.76	Professional		$306.52	$407.81	$495.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $461.10 / $662.40	Professional		$4.00	$461.10	$662.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.27 / $390.54 / $704.62	Facility		$266.27	$390.54	$704.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.02 / $406.95 / $702.40	Professional		$293.02	$406.95	$702.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.75 / $324.70 / $517.09	Professional		$242.75	$324.70	$517.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $266.27 / $359.25	Professional		$227.48	$266.27	$359.25