Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,236.00 / $7,316.00	Facility		$569.00	$2,236.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.81 / $520.51 / $714.32	Professional		$461.81	$520.51	$714.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,386.85 / $4,527.81 / $8,995.25	Facility		$2,386.85	$4,527.81	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.39 / $535.17 / $802.26	Professional		$402.39	$535.17	$802.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $448.16 / $448.16 / $448.16	Facility		$448.16	$448.16	$448.16
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 $514.65 / $672.40 / $1,042.36	Professional		$514.65	$672.40	$1,042.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $12,000.00 / $12,000.00	Facility		$9,388.90	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,500.00 / $7,500.00 / $7,500.00	Professional		$7,500.00	$7,500.00	$7,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $493.31 / $663.30 / $1,310.80	Facility		$493.31	$663.30	$1,310.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $746.81 / $878.60	Professional		$634.54	$746.81	$878.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $770.40 / $770.40 / $770.40	Professional		$770.40	$770.40	$770.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.31 / $667.92 / $1,310.80	Facility		$493.31	$667.92	$1,310.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $514.65 / $683.53 / $1,134.49	Professional		$514.65	$683.53	$1,134.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,226.00 / $7,600.00	Facility		$1,154.00	$3,226.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.33 / $572.04 / $884.70	Professional		$416.33	$572.04	$884.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $476.21 / $506.29 / $750.00	Professional		$476.21	$506.29	$750.00