Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,620.00 / $12,040.00	Facility		$828.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.91 / $449.23 / $636.71	Professional		$398.91	$449.23	$636.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,765.60 / $4,898.00 / $9,949.89	Facility		$2,765.60	$4,898.00	$9,949.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.07 / $408.70 / $471.35	Professional		$390.07	$408.70	$471.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Facility		$390.00	$390.00	$390.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,552.00 / $4,552.00 / $4,552.00	Facility		$4,552.00	$4,552.00	$4,552.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.18 / $579.24 / $899.45	Professional		$444.18	$579.24	$899.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,156.64 / $3,226.56 / $3,611.85	Professional		$3,156.64	$3,226.56	$3,611.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $424.93 / $551.20 / $951.22	Facility		$424.93	$551.20	$951.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.91 / $644.85 / $758.65	Professional		$547.91	$644.85	$758.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.90 / $588.90 / $588.90	Professional		$588.90	$588.90	$588.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.93 / $556.16 / $1,094.94	Facility		$424.93	$556.16	$1,094.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.18 / $585.98 / $969.30	Professional		$444.18	$585.98	$969.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.30 / $488.18 / $761.38	Professional		$358.30	$488.18	$761.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.71 / $410.78 / $569.35	Professional		$359.71	$410.78	$569.35