Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,267.00 / $6,140.00	Facility		$1,000.00	$4,267.00	$6,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,050.00 / $1,900.00	Professional		$1,000.00	$1,050.00	$1,900.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,510.01 / $3,733.85 / $6,327.81	Facility		$1,510.01	$3,733.85	$6,327.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $1,135.42 / $1,518.99	Professional		$57.22	$1,135.42	$1,518.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.87 / $67.87 / $67.87	Facility		$67.87	$67.87	$67.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.40 / $1,405.01 / $4,242.03	Facility		$635.40	$1,405.01	$4,242.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.01 / $468.11 / $987.93	Professional		$316.01	$468.11	$987.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,877.71 / $4,442.64 / $5,153.84	Facility		$3,877.71	$4,442.64	$5,153.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,302.23 / $9,962.67 / $10,235.64	Professional		$5,302.23	$9,962.67	$10,235.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $362.01 / $2,080.00	Facility		$70.31	$362.01	$2,080.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $125.56 / $1,771.88	Professional		$67.87	$125.56	$1,771.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $124.13 / $908.14	Professional		$45.99	$124.13	$908.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.26 / $583.64 / $2,717.00	Facility		$71.26	$583.64	$2,717.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $520.97 / $1,204.39	Professional		$318.77	$520.97	$1,204.39
United Facility/Professional Professional Modifier Low / Median / High Price $565.41 / $1,018.42 / $2,250.00	Professional		$565.41	$1,018.42	$2,250.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,260.52 / $1,395.69 / $2,007.49	Professional		$1,260.52	$1,395.69	$2,007.49