Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,186.00 / $10,893.00	Facility		$748.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.29 / $497.02 / $707.95	Professional		$434.29	$497.02	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,102.85 / $10,055.40 / $20,043.75	Facility		$5,102.85	$10,055.40	$20,043.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.07 / $572.32 / $929.10	Professional		$449.07	$572.32	$929.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $439.43 / $439.43 / $439.43	Facility		$439.43	$439.43	$439.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,480.54 / $4,480.54 / $5,065.00	Facility		$4,480.54	$4,480.54	$5,065.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.68 / $654.79 / $1,023.92	Professional		$490.68	$654.79	$1,023.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $17,704.40	Facility		$55.00	$2,000.00	$17,704.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,058.97 / $5,058.97 / $5,058.97	Professional		$5,058.97	$5,058.97	$5,058.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.06 / $607.72 / $1,311.62	Facility		$478.06	$607.72	$1,311.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $626.54 / $737.40 / $867.53	Professional		$626.54	$737.40	$867.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $627.00 / $627.00	Professional		$627.00	$627.00	$627.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.91 / $609.13 / $1,311.62	Facility		$478.91	$609.13	$1,311.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $490.68 / $662.28 / $1,052.67	Professional		$490.68	$662.28	$1,052.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,237.00	Facility		$2,093.00	$6,002.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.46 / $524.83 / $849.73	Professional		$383.46	$524.83	$849.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.34 / $468.74 / $651.38	Professional		$411.34	$468.74	$651.38