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 $389.70 / $432.25 / $606.03	Professional		$389.70	$432.25	$606.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,883.14 / $3,440.81 / $7,026.24	Facility		$1,883.14	$3,440.81	$7,026.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.51 / $388.20 / $447.71	Professional		$370.51	$388.20	$447.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.46 / $371.46 / $371.46	Facility		$371.46	$371.46	$371.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.33 / $551.54 / $853.09	Professional		$422.33	$551.54	$853.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $12,000.00 / $12,000.00	Facility		$6,817.20	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,221.00 / $6,221.00 / $6,221.00	Professional		$6,221.00	$6,221.00	$6,221.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $406.44 / $529.72 / $903.08	Facility		$406.44	$529.72	$903.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.85 / $614.16 / $722.56	Professional		$521.85	$614.16	$722.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $624.29 / $624.29 / $624.29	Professional		$624.29	$624.29	$624.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.01 / $529.72 / $1,040.02	Facility		$407.01	$529.72	$1,040.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.95 / $560.98 / $918.08	Professional		$422.95	$560.98	$918.08
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 $340.40 / $464.40 / $723.35	Professional		$340.40	$464.40	$723.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $342.60 / $390.99 / $542.28	Professional		$342.60	$390.99	$542.28