Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,213.00 / $10,836.00	Facility		$727.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.48 / $358.95 / $501.36	Professional		$329.48	$358.95	$501.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,695.68 / $2,923.06 / $5,544.95	Facility		$1,695.68	$2,923.06	$5,544.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.92 / $321.58 / $370.88	Professional		$306.92	$321.58	$370.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $298.27 / $298.27	Facility		$298.27	$298.27	$298.27
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 $353.87 / $461.64 / $717.83	Professional		$353.87	$461.64	$717.83
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 $3,137.10 / $3,137.10 / $3,137.10	Professional		$3,137.10	$3,137.10	$3,137.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.07 / $476.70 / $861.80	Facility		$336.07	$476.70	$861.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $429.34 / $505.30 / $594.47	Professional		$429.34	$505.30	$594.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $545.10 / $545.10 / $545.10	Professional		$545.10	$545.10	$545.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.07 / $479.07 / $936.56	Facility		$336.07	$479.07	$936.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.38 / $473.41 / $727.56	Professional		$357.38	$473.41	$727.56
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 $286.70 / $394.21 / $624.28	Professional		$286.70	$394.21	$624.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.87 / $323.45 / $445.57	Professional		$281.87	$323.45	$445.57