Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,219.00 / $10,639.00	Facility		$747.00	$3,219.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $320.57 / $466.98	Professional		$275.35	$320.57	$466.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.46 / $4,663.00 / $8,844.32	Facility		$2,354.46	$4,663.00	$8,844.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.79 / $344.02 / $493.71	Professional		$271.79	$344.02	$493.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $267.63 / $3,096.84 / $3,096.84	Facility		$267.63	$3,096.84	$3,096.84
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 $309.73 / $402.78 / $621.78	Professional		$309.73	$402.78	$621.78
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 $2,178.80 / $2,227.44 / $2,490.23	Professional		$2,178.80	$2,227.44	$2,490.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.73 / $389.92 / $661.65	Facility		$293.73	$389.92	$661.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $378.04 / $444.92 / $523.44	Professional		$378.04	$444.92	$523.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $441.10 / $441.10 / $441.10	Professional		$441.10	$441.10	$441.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.73 / $389.93 / $757.70	Facility		$293.73	$389.93	$757.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.24 / $408.84 / $678.13	Professional		$310.24	$408.84	$678.13
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 $249.45 / $340.56 / $543.16	Professional		$249.45	$340.56	$543.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.19 / $283.85 / $392.66	Professional		$248.19	$283.85	$392.66