Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.66 / $2,514.00 / $7,542.00	Facility		$465.66	$2,514.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.54 / $365.51 / $546.14	Professional		$258.54	$365.51	$546.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,992.24 / $4,503.00 / $8,240.61	Facility		$1,992.24	$4,503.00	$8,240.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.64 / $366.74 / $606.28	Professional		$254.64	$366.74	$606.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $252.98 / $252.98 / $252.98	Facility		$252.98	$252.98	$252.98
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 $304.52 / $456.11 / $815.48	Professional		$304.52	$456.11	$815.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.64 / $16,394.00 / $16,394.00	Facility		$1,397.64	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,040.96 / $3,393.85 / $3,495.67	Professional		$2,040.96	$3,393.85	$3,495.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.87 / $420.43 / $924.99	Facility		$272.87	$420.43	$924.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.48 / $481.90 / $667.24	Professional		$354.48	$481.90	$667.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $384.10 / $384.10 / $384.10	Professional		$384.10	$384.10	$384.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.87 / $429.84 / $948.62	Facility		$272.87	$429.84	$948.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.24 / $477.45 / $858.13	Professional		$309.24	$477.45	$858.13
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 $342.33 / $496.85 / $781.14	Professional		$342.33	$496.85	$781.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.20 / $380.64 / $750.00	Professional		$358.20	$380.64	$750.00