Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.24 / $3,580.00 / $11,139.00	Facility		$346.24	$3,580.00	$11,139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $222.45 / $388.20	Professional		$179.75	$222.45	$388.20
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 $205.12 / $261.42 / $388.89	Professional		$205.12	$261.42	$388.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.67 / $195.67 / $195.67	Facility		$195.67	$195.67	$195.67
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 $218.52 / $294.44 / $449.66	Professional		$218.52	$294.44	$449.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.05 / $26,542.00 / $26,542.00	Facility		$1,250.05	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.52 / $2,500.00 / $2,500.00	Professional		$1,557.52	$2,500.00	$2,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.04 / $280.27 / $582.13	Facility		$213.04	$280.27	$582.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.74 / $357.59 / $437.26	Professional		$281.74	$357.59	$437.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,374.74 / $1,374.74 / $1,787.86	Facility		$1,374.74	$1,374.74	$1,787.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.80 / $389.80 / $389.80	Professional		$389.80	$389.80	$389.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.76 / $283.52 / $639.89	Facility		$214.76	$283.52	$639.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.94 / $300.70 / $484.29	Professional		$220.94	$300.70	$484.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $4,063.00 / $8,759.00	Facility		$1,273.00	$4,063.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $257.35 / $414.60	Professional		$189.70	$257.35	$414.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $234.60 / $325.66	Professional		$207.32	$234.60	$325.66