Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,221.00 / $7,316.00	Facility		$521.00	$2,221.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.59 / $493.62 / $687.95	Professional		$450.59	$493.62	$687.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,835.19 / $6,093.53 / $12,821.81	Facility		$2,835.19	$6,093.53	$12,821.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.88 / $407.88 / $407.88	Facility		$407.88	$407.88	$407.88
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 $484.78 / $632.12 / $967.34	Professional		$484.78	$632.12	$967.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $12,000.00 / $14,302.50	Facility		$11,500.00	$12,000.00	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,398.48 / $3,476.56 / $3,868.88	Professional		$3,398.48	$3,476.56	$3,868.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $452.50 / $613.83 / $1,045.97	Facility		$452.50	$613.83	$1,045.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.71 / $692.86 / $815.13	Professional		$588.71	$692.86	$815.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $723.20 / $723.20 / $723.20	Professional		$723.20	$723.20	$723.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.04 / $625.20 / $1,182.46	Facility		$453.04	$625.20	$1,182.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $486.08 / $650.28 / $991.85	Professional		$486.08	$650.28	$991.85
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.81 / $542.72 / $836.84	Professional		$393.81	$542.72	$836.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.49 / $443.84 / $610.88	Professional		$386.49	$443.84	$610.88