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 $329.26 / $384.38 / $566.35	Professional		$329.26	$384.38	$566.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.85 / $2,781.33 / $5,438.66	Facility		$1,627.85	$2,781.33	$5,438.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.89 / $410.25 / $571.57	Professional		$321.89	$410.25	$571.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $324.45 / $324.45 / $324.45	Facility		$324.45	$324.45	$324.45
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 $361.49 / $476.20 / $741.32	Professional		$361.49	$476.20	$741.32
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 $2,614.16 / $2,669.44 / $2,996.85	Professional		$2,614.16	$2,669.44	$2,996.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.39 / $453.11 / $781.60	Facility		$334.39	$453.11	$781.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.14 / $534.49 / $628.80	Professional		$454.14	$534.49	$628.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $439.50 / $439.50 / $439.50	Professional		$439.50	$439.50	$439.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.39 / $453.75 / $903.58	Facility		$334.39	$453.75	$903.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.05 / $485.93 / $748.32	Professional		$366.05	$485.93	$748.32
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 $294.20 / $408.04 / $625.17	Professional		$294.20	$408.04	$625.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.14 / $340.06 / $472.00	Professional		$298.14	$340.06	$472.00