Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,124.00 / $6,762.00	Facility		$500.00	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.74 / $677.87 / $975.61	Professional		$155.74	$677.87	$975.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.51 / $949.60 / $3,278.79	Facility		$537.51	$949.60	$3,278.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $586.73 / $1,082.68	Professional		$145.90	$586.73	$1,082.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $141.80 / $141.80 / $141.80	Facility		$141.80	$141.80	$141.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.37 / $847.37 / $847.37	Facility		$847.37	$847.37	$847.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.11 / $612.71 / $1,312.24	Professional		$184.11	$612.71	$1,312.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $787.27	Facility		$55.00	$55.00	$787.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.94 / $5,191.20 / $6,103.05	Professional		$2,700.94	$5,191.20	$6,103.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.48 / $603.03 / $1,282.23	Facility		$165.48	$603.03	$1,282.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $203.53 / $771.40 / $1,262.29	Professional		$203.53	$771.40	$1,262.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.09 / $1,100.09 / $1,100.09	Professional		$1,100.09	$1,100.09	$1,100.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.48 / $667.99 / $1,357.29	Facility		$165.48	$667.99	$1,357.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.87 / $693.79 / $1,391.65	Professional		$184.87	$693.79	$1,391.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.48 / $838.04 / $1,349.40	Professional		$609.48	$838.04	$1,349.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $598.51 / $667.99 / $951.72	Professional		$598.51	$667.99	$951.72