Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,213.00 / $10,836.00	Facility		$727.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.38 / $435.88 / $653.74	Professional		$374.38	$435.88	$653.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,795.51 / $6,407.31 / $11,522.94	Facility		$2,795.51	$6,407.31	$11,522.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.48 / $474.97 / $706.73	Professional		$354.48	$474.97	$706.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $377.15 / $377.15 / $377.15	Facility		$377.15	$377.15	$377.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,194.69 / $3,194.69 / $3,194.69	Facility		$3,194.69	$3,194.69	$3,194.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.45 / $576.30 / $879.80	Professional		$429.45	$576.30	$879.80
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 $3,113.28 / $3,221.28 / $3,649.58	Professional		$3,113.28	$3,221.28	$3,649.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.54 / $537.94 / $1,054.19	Facility		$412.54	$537.94	$1,054.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.08 / $643.87 / $757.49	Professional		$547.08	$643.87	$757.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $556.79 / $556.79 / $556.79	Professional		$556.79	$556.79	$556.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.54 / $545.21 / $1,117.25	Facility		$412.54	$545.21	$1,117.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.94 / $587.25 / $934.43	Professional		$430.94	$587.25	$934.43
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 $342.35 / $461.97 / $738.88	Professional		$342.35	$461.97	$738.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.17 / $408.59 / $567.24	Professional		$359.17	$408.59	$567.24