Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,420.00 / $8,780.00	Facility		$714.00	$3,420.00	$8,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.55 / $340.55 / $529.29	Professional		$276.55	$340.55	$529.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,673.52 / $6,620.89 / $12,900.05	Facility		$3,673.52	$6,620.89	$12,900.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.92 / $336.75 / $504.80	Professional		$245.92	$336.75	$504.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $270.23 / $270.23 / $270.23	Facility		$270.23	$270.23	$270.23
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 $318.13 / $460.64 / $732.18	Professional		$318.13	$460.64	$732.18
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 $4,770.00 / $4,770.00 / $4,770.00	Professional		$4,770.00	$4,770.00	$4,770.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.24 / $502.91 / $813.03	Facility		$301.24	$502.91	$813.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.17 / $462.73 / $544.39	Professional		$393.17	$462.73	$544.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.70 / $562.70 / $562.70	Professional		$562.70	$562.70	$562.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.24 / $510.01 / $813.03	Facility		$301.24	$510.01	$813.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.22 / $462.43 / $733.20	Professional		$316.22	$462.43	$733.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $385.94 / $597.39	Professional		$275.39	$385.94	$597.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.12 / $295.69 / $406.65	Professional		$258.12	$295.69	$406.65