Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,620.00 / $12,040.00	Facility		$828.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.29 / $250.05 / $348.95	Professional		$229.29	$250.05	$348.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,656.32 / $4,769.29 / $9,266.92	Facility		$2,656.32	$4,769.29	$9,266.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $272.33 / $371.10	Professional		$213.68	$272.33	$371.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $208.60 / $208.60 / $208.60	Facility		$208.60	$208.60	$208.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.22 / $320.95 / $494.90	Professional		$245.22	$320.95	$494.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,725.92 / $1,761.36 / $1,965.38	Professional		$1,725.92	$1,761.36	$1,965.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.88 / $320.85 / $542.50	Facility		$233.88	$320.85	$542.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $298.97 / $351.87 / $413.96	Professional		$298.97	$351.87	$413.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.20 / $347.20 / $347.20	Professional		$347.20	$347.20	$347.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.88 / $327.82 / $630.00	Facility		$233.88	$327.82	$630.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.60 / $328.97 / $537.00	Professional		$247.60	$328.97	$537.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,226.00 / $18,325.00	Facility		$1,154.00	$3,226.00	$18,325.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.22 / $274.48 / $428.87	Professional		$199.22	$274.48	$428.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $225.13 / $310.37	Professional		$196.28	$225.13	$310.37