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 $265.26 / $290.13 / $414.91	Professional		$265.26	$290.13	$414.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,173.72 / $6,347.43 / $12,610.23	Facility		$3,173.72	$6,347.43	$12,610.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.84 / $260.72 / $300.69	Professional		$248.84	$260.72	$300.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $241.33 / $241.33 / $241.33	Facility		$241.33	$241.33	$241.33
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 $285.00 / $372.21 / $573.41	Professional		$285.00	$372.21	$573.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,394.00	Facility		$11,500.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,001.68 / $2,046.48 / $2,275.88	Professional		$2,001.68	$2,046.48	$2,275.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.66 / $372.04 / $615.82	Facility		$271.66	$372.04	$615.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.50 / $407.81 / $479.77	Professional		$346.50	$407.81	$479.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $411.60 / $411.60 / $411.60	Professional		$411.60	$411.60	$411.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.66 / $377.80 / $698.49	Facility		$271.66	$377.80	$698.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $382.85 / $626.01	Professional		$286.08	$382.85	$626.01
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 $230.30 / $319.18 / $493.27	Professional		$230.30	$319.18	$493.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $261.08 / $359.69	Professional		$227.48	$261.08	$359.69