Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $2,496.00 / $7,316.00	Facility		$624.00	$2,496.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $727.54 / $1,106.60	Professional		$198.86	$727.54	$1,106.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.05 / $1,677.05 / $3,408.46	Facility		$964.05	$1,677.05	$3,408.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.19 / $629.48 / $1,174.13	Professional		$187.19	$629.48	$1,174.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $175.82 / $713.22	Facility		$175.82	$175.82	$713.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $3,559.00	Facility		$684.87	$908.58	$3,559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $454.44 / $1,554.91	Professional		$233.18	$454.44	$1,554.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,389.42	Facility		$55.00	$55.00	$1,389.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,821.29 / $5,779.92 / $6,372.53	Professional		$2,821.29	$5,779.92	$6,372.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.82 / $675.58 / $1,522.82	Facility		$203.82	$675.58	$1,522.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $808.05 / $1,322.26	Professional		$257.76	$808.05	$1,322.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,381.40 / $2,245.19	Professional		$4.00	$1,381.40	$2,245.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.82 / $696.39 / $1,618.15	Facility		$203.82	$696.39	$1,618.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.36 / $556.60 / $1,782.05	Professional		$240.36	$556.60	$1,782.05
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 $739.81 / $1,001.59 / $1,638.97	Professional		$739.81	$1,001.59	$1,638.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $626.95 / $733.64 / $997.37	Professional		$626.95	$733.64	$997.37