Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,213.00 / $10,836.00	Facility		$732.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.43 / $425.90 / $630.57	Professional		$379.43	$425.90	$630.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,626.93 / $2,816.76 / $5,863.83	Facility		$1,626.93	$2,816.76	$5,863.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $472.97 / $658.96	Professional		$373.67	$472.97	$658.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.04 / $371.04 / $371.04	Facility		$371.04	$371.04	$371.04
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 $419.65 / $547.86 / $854.59	Professional		$419.65	$547.86	$854.59
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 $3,341.83 / $3,341.83 / $3,440.93	Professional		$3,341.83	$3,341.83	$3,440.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.36 / $528.04 / $897.74	Facility		$401.36	$528.04	$897.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.42 / $613.67 / $721.98	Professional		$521.42	$613.67	$721.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.20 / $583.20 / $583.20	Professional		$583.20	$583.20	$583.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.36 / $531.20 / $1,041.73	Facility		$401.36	$531.20	$1,041.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $420.81 / $555.34 / $914.57	Professional		$420.81	$555.34	$914.57
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 $339.24 / $466.46 / $720.89	Professional		$339.24	$466.46	$720.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $342.33 / $390.58 / $541.84	Professional		$342.33	$390.58	$541.84