Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,682.00 / $11,232.00	Facility		$803.00	$3,682.00	$11,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.99 / $488.79 / $860.13	Professional		$418.99	$488.79	$860.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,475.19 / $4,663.00 / $8,995.25	Facility		$2,475.19	$4,663.00	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.99 / $446.82 / $727.89	Professional		$358.99	$446.82	$727.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $409.15 / $409.15 / $409.15	Facility		$409.15	$409.15	$409.15
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 $461.73 / $607.38 / $944.96	Professional		$461.73	$607.38	$944.96
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 $3,830.56 / $3,830.56 / $3,830.56	Professional		$3,830.56	$3,830.56	$3,830.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.28 / $582.76 / $1,000.87	Facility		$448.28	$582.76	$1,000.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.10 / $678.02 / $797.67	Professional		$576.10	$678.02	$797.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $622.60 / $622.60 / $622.60	Professional		$622.60	$622.60	$622.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.28 / $590.49 / $1,150.71	Facility		$448.28	$590.49	$1,150.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $617.73 / $1,027.66	Professional		$467.10	$617.73	$1,027.66
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 $377.35 / $518.86 / $841.02	Professional		$377.35	$518.86	$841.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.22 / $432.04 / $598.60	Professional		$378.22	$432.04	$598.60