Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,673.00 / $7,495.00	Facility		$652.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.56 / $337.30 / $470.47	Professional		$309.56	$337.30	$470.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,521.10 / $4,558.00 / $8,995.25	Facility		$2,521.10	$4,558.00	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $302.04 / $348.34	Professional		$288.27	$302.04	$348.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $280.81 / $280.81 / $280.81	Facility		$280.81	$280.81	$280.81
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 $326.19 / $432.72 / $665.03	Professional		$326.19	$432.72	$665.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $16,394.00 / $16,394.00	Facility		$9,388.90	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.32 / $2,378.08 / $2,646.90	Professional		$2,326.32	$2,378.08	$2,646.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.75 / $433.66 / $714.38	Facility		$315.75	$433.66	$714.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $402.84 / $474.12 / $557.78	Professional		$402.84	$474.12	$557.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $492.20 / $492.20 / $492.20	Professional		$492.20	$492.20	$492.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.75 / $441.29 / $809.19	Facility		$315.75	$441.29	$809.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.33 / $443.53 / $677.37	Professional		$331.33	$443.53	$677.37
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 $263.31 / $362.05 / $570.57	Professional		$263.31	$362.05	$570.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.47 / $303.52 / $418.14	Professional		$264.47	$303.52	$418.14