Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.21 / $2,107.00 / $6,762.00	Facility		$491.21	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.72 / $463.49 / $646.33	Professional		$395.72	$463.49	$646.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,887.00 / $3,594.28 / $7,026.24	Facility		$1,887.00	$3,594.28	$7,026.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.77 / $498.76 / $736.58	Professional		$390.77	$498.76	$736.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $388.06 / $388.06 / $388.06	Facility		$388.06	$388.06	$388.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.57 / $588.29 / $915.62	Professional		$450.57	$588.29	$915.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,147.29 / $12,000.00 / $12,000.00	Facility		$2,147.29	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,133.76 / $3,857.48 / $4,093.34	Professional		$3,133.76	$3,857.48	$4,093.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.52 / $560.23 / $1,000.11	Facility		$425.52	$560.23	$1,000.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.13 / $673.94 / $808.72	Professional		$544.13	$673.94	$808.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $821.20 / $821.20 / $821.20	Professional		$821.20	$821.20	$821.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.52 / $565.04 / $1,121.57	Facility		$425.52	$565.04	$1,121.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.85 / $598.13 / $970.20	Professional		$454.85	$598.13	$970.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,226.00 / $7,600.00	Facility		$1,154.00	$3,226.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.64 / $511.15 / $822.31	Professional		$377.64	$511.15	$822.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.46 / $436.65 / $607.29	Professional		$383.46	$436.65	$607.29