Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $1,638.00 / $4,595.76	Facility		$617.76	$1,638.00	$4,595.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $692.64 / $1,123.20	Professional		$524.16	$692.64	$1,123.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $2,340.00 / $4,829.76	Facility		$12.68	$2,340.00	$4,829.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $437.58 / $636.39	Professional		$5.00	$437.58	$636.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $936.00 / $936.00	Facility		$936.00	$936.00	$936.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.40 / $1,758.28 / $4,045.61	Facility		$608.40	$1,758.28	$4,045.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.28 / $594.17 / $1,420.75	Professional		$449.28	$594.17	$1,420.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $4,446.00 / $4,446.00	Facility		$1,497.60	$4,446.00	$4,446.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,680.00 / $4,680.00 / $7,020.00	Professional		$4,680.00	$4,680.00	$7,020.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $936.00 / $1,150.00	Facility		$561.60	$936.00	$1,150.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $936.00 / $936.00	Professional		$936.00	$936.00	$936.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $608.40 / $1,123.20 / $2,106.00	Professional		$608.40	$1,123.20	$2,106.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $936.00 / $1,715.69	Facility		$561.60	$936.00	$1,715.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.44 / $936.00 / $1,420.75	Professional		$477.44	$936.00	$1,420.75
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $393.12 / $599.04	Professional		$393.12	$393.12	$599.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $365.04 / $374.40 / $936.00	Professional		$365.04	$374.40	$936.00