Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,673.00 / $7,495.00	Facility		$657.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.32 / $477.25 / $697.48	Professional		$432.32	$477.25	$697.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.94 / $4,678.74 / $10,232.85	Facility		$2,595.94	$4,678.74	$10,232.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.03 / $428.56 / $494.26	Professional		$409.03	$428.56	$494.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.86 / $407.86 / $407.86	Facility		$407.86	$407.86	$407.86
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 $465.72 / $610.00 / $942.08	Professional		$465.72	$610.00	$942.08
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 $4,505.85 / $4,505.85 / $4,505.85	Professional		$4,505.85	$4,505.85	$4,505.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.51 / $594.91 / $997.82	Facility		$447.51	$594.91	$997.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $574.41 / $676.03 / $795.33	Professional		$574.41	$676.03	$795.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $669.10 / $669.10 / $669.10	Professional		$669.10	$669.10	$669.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.51 / $597.57 / $1,148.14	Facility		$447.51	$597.57	$1,148.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.72 / $618.41 / $1,024.49	Professional		$465.72	$618.41	$1,024.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $5,210.00 / $10,476.00	Facility		$1,691.00	$5,210.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.76 / $505.09 / $799.43	Professional		$375.76	$505.09	$799.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $377.11 / $430.80 / $596.85	Professional		$377.11	$430.80	$596.85