Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,186.00 / $10,893.00	Facility		$714.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $387.08 / $609.76	Professional		$354.10	$387.08	$609.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,253.66 / $7,492.25 / $14,722.87	Facility		$4,253.66	$7,492.25	$14,722.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.48 / $398.31 / $597.08	Professional		$299.48	$398.31	$597.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $337.52 / $337.52 / $347.60	Facility		$337.52	$337.52	$347.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,315.00 / $8,539.09 / $9,422.44	Facility		$5,315.00	$8,539.09	$9,422.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.82 / $530.17 / $804.89	Professional		$376.82	$530.17	$804.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $37,231.85	Facility		$12,131.00	$26,542.00	$37,231.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.33 / $2,845.22 / $3,054.00	Professional		$2,754.33	$2,845.22	$3,054.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.40 / $508.11 / $819.04	Facility		$358.40	$508.11	$819.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.91 / $549.35 / $667.83	Professional		$412.91	$549.35	$667.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $646.00 / $894.60	Professional		$4.00	$646.00	$894.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.69 / $516.00 / $874.09	Facility		$358.69	$516.00	$874.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.50 / $550.15 / $946.92	Professional		$383.50	$550.15	$946.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,096.00 / $16,000.00	Facility		$2,605.00	$7,096.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.27 / $429.94 / $696.03	Professional		$326.27	$429.94	$696.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $306.44 / $358.69 / $483.69	Professional		$306.44	$358.69	$483.69