Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,594.00 / $7,542.00	Facility		$617.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $229.09 / $337.82	Professional		$196.94	$229.09	$337.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.85 / $2,816.76 / $5,934.69	Facility		$1,627.85	$2,816.76	$5,934.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $213.51 / $341.96	Professional		$168.65	$213.51	$341.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.86 / $1,697.08 / $1,697.08	Facility		$195.86	$1,697.08	$1,697.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $288.20 / $463.13	Professional		$221.89	$288.20	$463.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $16,394.00 / $16,394.00	Facility		$5,444.45	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,806.23 / $2,710.26 / $2,799.69	Professional		$1,806.23	$2,710.26	$2,799.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.08 / $274.57 / $559.02	Facility		$204.08	$274.57	$559.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $320.70 / $377.30	Professional		$272.49	$320.70	$377.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $536.50 / $536.50 / $536.50	Professional		$536.50	$536.50	$536.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.08 / $275.73 / $559.02	Facility		$204.08	$275.73	$559.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $292.60 / $483.53	Professional		$221.89	$292.60	$483.53
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 $173.38 / $237.38 / $382.91	Professional		$173.38	$237.38	$382.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $204.08 / $282.77	Professional		$178.90	$204.08	$282.77