Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.87 / $2,124.00 / $6,762.00	Facility		$451.87	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.54 / $419.50 / $571.49	Professional		$337.54	$419.50	$571.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,046.77 / $6,347.43 / $12,314.01	Facility		$3,046.77	$6,347.43	$12,314.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $379.37 / $424.56	Professional		$313.95	$379.37	$424.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $305.24 / $305.24 / $305.24	Facility		$305.24	$305.24	$305.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.03 / $518.07 / $869.69	Professional		$377.03	$518.07	$869.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,775.85 / $12,000.00 / $12,000.00	Facility		$2,775.85	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,536.56 / $3,820.83 / $6,333.47	Professional		$2,536.56	$3,820.83	$6,333.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $357.35 / $519.54 / $1,064.48	Facility		$357.35	$519.54	$1,064.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $439.43 / $557.73 / $751.66	Professional		$439.43	$557.73	$751.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.30 / $1,176.30 / $1,176.30	Professional		$1,176.30	$1,176.30	$1,176.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.35 / $527.35 / $1,139.35	Facility		$357.35	$527.35	$1,139.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.84 / $548.04 / $915.57	Professional		$380.84	$548.04	$915.57
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 $354.54 / $501.10 / $768.60	Professional		$354.54	$501.10	$768.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.40 / $406.32 / $564.22	Professional		$356.40	$406.32	$564.22