Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,673.00 / $7,495.00	Facility		$652.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.37 / $388.12 / $566.69	Professional		$332.37	$388.12	$566.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,046.77 / $6,347.43 / $12,610.23	Facility		$3,046.77	$6,347.43	$12,610.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.95 / $414.14 / $623.21	Professional		$324.95	$414.14	$623.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $327.36 / $327.36 / $327.36	Facility		$327.36	$327.36	$327.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,895.64 / $4,895.64 / $4,895.64	Facility		$4,895.64	$4,895.64	$4,895.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.33 / $480.99 / $733.94	Professional		$365.33	$480.99	$733.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $19,344.65	Facility		$11,500.00	$16,394.00	$19,344.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,638.56 / $2,691.92 / $3,029.85	Professional		$2,638.56	$2,691.92	$3,029.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.40 / $449.52 / $789.23	Facility		$352.40	$449.52	$789.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $458.77 / $539.94 / $635.22	Professional		$458.77	$539.94	$635.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.60 / $463.60 / $463.60	Professional		$463.60	$463.60	$463.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.40 / $453.98 / $912.16	Facility		$352.40	$453.98	$912.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.29 / $486.84 / $755.96	Professional		$370.29	$486.84	$755.96
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 $297.08 / $408.50 / $646.91	Professional		$297.08	$408.50	$646.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.19 / $343.45 / $476.73	Professional		$301.19	$343.45	$476.73