Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,102.00 / $10,234.00	Facility		$714.00	$3,102.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.50 / $302.36 / $422.27	Professional		$277.50	$302.36	$422.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,521.10 / $4,663.00 / $8,995.25	Facility		$2,521.10	$4,663.00	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.62 / $329.60 / $459.21	Professional		$258.62	$329.60	$459.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $251.50 / $251.50 / $251.50	Facility		$251.50	$251.50	$251.50
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 $292.97 / $388.24 / $597.46	Professional		$292.97	$388.24	$597.46
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 $2,088.23 / $2,135.52 / $2,376.38	Professional		$2,088.23	$2,135.52	$2,376.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.05 / $384.46 / $640.26	Facility		$283.05	$384.46	$640.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.63 / $425.62 / $500.72	Professional		$361.63	$425.62	$500.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $424.90 / $424.90 / $424.90	Professional		$424.90	$424.90	$424.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.05 / $396.66 / $725.95	Facility		$283.05	$396.66	$725.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.51 / $398.05 / $652.27	Professional		$297.51	$398.05	$652.27
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 $241.08 / $325.37 / $512.29	Professional		$241.08	$325.37	$512.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.42 / $272.43 / $375.38	Professional		$237.42	$272.43	$375.38