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 $244.81 / $285.02 / $414.61	Professional		$244.81	$285.02	$414.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,526.11 / $2,781.33 / $5,456.92	Facility		$1,526.11	$2,781.33	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $250.79 / $289.24	Professional		$239.36	$250.79	$289.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
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 $274.68 / $357.59 / $552.85	Professional		$274.68	$357.59	$552.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $16,394.00 / $16,394.00	Facility		$9,388.90	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,135.00 / $3,135.00 / $3,135.00	Professional		$3,135.00	$3,135.00	$3,135.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.75 / $351.23 / $694.87	Facility		$260.75	$351.23	$694.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.57 / $394.94 / $464.63	Professional		$335.57	$394.94	$464.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $449.20 / $449.20 / $449.20	Professional		$449.20	$449.20	$449.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.75 / $353.02 / $694.87	Facility		$260.75	$353.02	$694.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.74 / $364.80 / $601.15	Professional		$275.74	$364.80	$601.15
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $290.64 / $470.58	Professional		$221.45	$290.64	$470.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.31 / $251.93 / $348.53	Professional		$220.31	$251.93	$348.53