Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,682.00 / $11,319.48	Facility		$714.00	$3,682.00	$11,319.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $427.13 / $701.59	Professional		$362.58	$427.13	$701.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.94 / $4,726.20 / $9,452.39	Facility		$2,642.94	$4,726.20	$9,452.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.36 / $448.70 / $667.64	Professional		$348.36	$448.70	$667.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $388.85 / $388.85 / $400.45	Facility		$388.85	$388.85	$400.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.38 / $2,418.96 / $3,125.00	Facility		$1,823.38	$2,418.96	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.16 / $538.95 / $833.60	Professional		$402.16	$538.95	$833.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $11,500.00 / $26,542.00	Facility		$9,558.29	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,566.10 / $4,720.07 / $4,720.07	Professional		$3,566.10	$4,720.07	$4,720.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $485.24 / $904.40	Facility		$390.00	$485.24	$904.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $464.23 / $617.63 / $750.84	Professional		$464.23	$617.63	$750.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $399.08 / $525.54 / $914.13	Professional		$399.08	$525.54	$914.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.53 / $488.48 / $946.46	Facility		$391.53	$488.48	$946.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $566.03 / $1,030.64	Professional		$415.00	$566.03	$1,030.64
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 $323.50 / $440.01 / $689.58	Professional		$323.50	$440.01	$689.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.53 / $400.58 / $540.90	Professional		$344.53	$400.58	$540.90