Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,783.00 / $7,542.00	Facility		$652.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $338.58 / $597.26	Professional		$286.07	$338.58	$597.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,716.57 / $5,381.57	Facility		$1,530.22	$2,716.57	$5,381.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $299.01 / $300.99	Facility		$80.00	$299.01	$300.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $379.42	Facility		$379.42	$379.42	$379.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.32 / $497.42 / $774.24	Professional		$356.32	$497.42	$774.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,870.08 / $11,500.00 / $16,394.00	Facility		$1,870.08	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,232.86 / $3,232.86 / $3,232.86	Professional		$3,232.86	$3,232.86	$3,232.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.91 / $445.83 / $737.39	Facility		$320.91	$445.83	$737.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.41 / $494.90 / $613.66	Professional		$412.41	$494.90	$613.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $385.09 / $402.40	Professional		$357.04	$385.09	$402.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.66 / $449.27 / $811.98	Facility		$321.66	$449.27	$811.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.32 / $509.87 / $796.80	Professional		$356.32	$509.87	$796.80
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.01 / $405.23 / $638.82	Professional		$289.01	$405.23	$638.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $320.91 / $446.61	Professional		$281.58	$320.91	$446.61