Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,221.00 / $7,316.00	Facility		$500.00	$2,221.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.50 / $372.12 / $517.79	Professional		$339.50	$372.12	$517.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,130.53 / $6,643.64 / $12,314.01	Facility		$3,130.53	$6,643.64	$12,314.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.25 / $376.22 / $705.90	Professional		$273.25	$376.22	$705.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $307.94 / $307.94 / $307.94	Facility		$307.94	$307.94	$307.94
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 $366.04 / $478.33 / $735.01	Professional		$366.04	$478.33	$735.01
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 $2,560.08 / $2,618.64 / $2,911.35	Professional		$2,560.08	$2,618.64	$2,911.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $348.22 / $476.81 / $787.71	Facility		$348.22	$476.81	$787.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $443.21 / $521.62 / $613.66	Professional		$443.21	$521.62	$613.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $510.70 / $510.70 / $510.70	Professional		$510.70	$510.70	$510.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.22 / $482.38 / $891.57	Facility		$348.22	$482.38	$891.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.19 / $490.57 / $799.33	Professional		$370.19	$490.57	$799.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,100.00 / $8,326.00	Facility		$1,284.00	$4,100.00	$8,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.08 / $408.50 / $631.30	Professional		$297.08	$408.50	$631.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.97 / $334.06 / $460.03	Professional		$290.97	$334.06	$460.03