Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,174.00 / $10,836.00	Facility		$714.00	$3,174.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $277.77 / $386.12	Professional		$253.65	$277.77	$386.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,565.76 / $4,663.00 / $9,025.43	Facility		$2,565.76	$4,663.00	$9,025.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.53 / $248.87 / $287.02	Professional		$237.53	$248.87	$287.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $227.92 / $227.92 / $227.92	Facility		$227.92	$227.92	$227.92
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 $271.27 / $355.70 / $549.13	Professional		$271.27	$355.70	$549.13
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 $1,908.08 / $1,952.56 / $2,166.30	Professional		$1,908.08	$1,952.56	$2,166.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $255.07 / $353.13 / $590.59	Facility		$255.07	$353.13	$590.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $330.10 / $388.50 / $457.06	Professional		$330.10	$388.50	$457.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.90 / $331.90 / $331.90	Professional		$331.90	$331.90	$331.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.07 / $359.98 / $723.85	Facility		$255.07	$359.98	$723.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $363.51 / $599.07	Professional		$272.70	$363.51	$599.07
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 $222.31 / $305.68 / $472.41	Professional		$222.31	$305.68	$472.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.71 / $249.11 / $342.54	Professional		$216.71	$249.11	$342.54