Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,221.00 / $7,316.00	Facility		$500.00	$2,221.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.97 / $362.03 / $529.36	Professional		$311.97	$362.03	$529.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,045.49 / $3,822.09 / $7,537.78	Facility		$2,045.49	$3,822.09	$7,537.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.49 / $393.25 / $572.30	Professional		$293.49	$393.25	$572.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $310.00 / $310.00	Facility		$310.00	$310.00	$310.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $2,403.30	Facility		$2,403.30	$2,403.30	$2,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.16 / $449.59 / $672.50	Professional		$330.16	$449.59	$672.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $12,000.00 / $12,000.00	Facility		$9,496.40	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,566.40 / $2,665.76 / $3,014.18	Professional		$2,566.40	$2,665.76	$3,014.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $325.23 / $402.56 / $697.56	Facility		$325.23	$402.56	$697.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $451.20 / $531.03 / $624.74	Professional		$451.20	$531.03	$624.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.60 / $334.60 / $334.60	Professional		$334.60	$334.60	$334.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.41 / $419.34 / $764.30	Facility		$326.41	$419.34	$764.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.28 / $455.45 / $723.61	Professional		$337.28	$455.45	$723.61
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 $262.01 / $349.35 / $572.26	Professional		$262.01	$349.35	$572.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.22 / $335.47 / $468.50	Professional		$296.22	$335.47	$468.50