Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,174.00 / $10,639.00	Facility		$732.00	$3,174.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.92 / $338.77 / $536.19	Professional		$293.92	$338.77	$536.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,090.94 / $3,897.04 / $7,537.78	Facility		$2,090.94	$3,897.04	$7,537.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.45 / $394.62 / $608.67	Professional		$308.45	$394.62	$608.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $292.20 / $292.20	Facility		$292.20	$292.20	$292.20
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 $329.76 / $433.79 / $666.25	Professional		$329.76	$433.79	$666.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $26,542.00 / $26,542.00	Facility		$9,496.40	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,415.84 / $2,495.84 / $2,840.78	Professional		$2,415.84	$2,495.84	$2,840.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.95 / $412.05 / $679.23	Facility		$316.95	$412.05	$679.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.13 / $500.34 / $588.64	Professional		$425.13	$500.34	$588.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.60 / $406.60 / $406.60	Professional		$406.60	$406.60	$406.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.95 / $414.06 / $795.16	Facility		$316.95	$414.06	$795.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.78 / $444.34 / $704.69	Professional		$329.78	$444.34	$704.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,293.00 / $7,600.00	Facility		$1,154.00	$3,293.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.54 / $352.43 / $572.41	Professional		$252.54	$352.43	$572.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $279.10 / $316.95 / $440.90	Professional		$279.10	$316.95	$440.90