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 $464.29 / $513.59 / $718.70	Professional		$464.29	$513.59	$718.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,335.43 / $6,347.43 / $12,610.23	Facility		$3,335.43	$6,347.43	$12,610.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.29 / $460.27 / $530.83	Professional		$439.29	$460.27	$530.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $438.07 / $438.07 / $438.07	Facility		$438.07	$438.07	$438.07
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 $500.67 / $655.63 / $1,013.57	Professional		$500.67	$655.63	$1,013.57
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 $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 $481.29 / $639.78 / $1,073.46	Facility		$481.29	$639.78	$1,073.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $618.14 / $727.50 / $855.88	Professional		$618.14	$727.50	$855.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $710.40 / $710.40 / $710.40	Professional		$710.40	$710.40	$710.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.29 / $642.05 / $1,233.08	Facility		$481.29	$642.05	$1,233.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.67 / $664.67 / $1,102.83	Professional		$500.67	$664.67	$1,102.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.20 / $555.78 / $858.93	Professional		$404.20	$555.78	$858.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $463.68 / $642.11	Professional		$405.82	$463.68	$642.11