Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.24 / $1,508.10 / $4,487.74	Facility		$603.24	$1,508.10	$4,487.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.84 / $676.36 / $1,096.80	Professional		$511.84	$676.36	$1,096.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $2,266.71 / $4,835.06	Facility		$10.50	$2,266.71	$4,835.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $427.30 / $612.38	Professional		$5.00	$427.30	$612.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $914.00 / $914.00	Facility		$914.00	$914.00	$914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.10 / $1,817.95 / $4,045.30	Facility		$594.10	$1,817.95	$4,045.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.22 / $820.65 / $1,410.68	Professional		$466.22	$820.65	$1,410.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.40 / $4,341.50 / $4,341.50	Facility		$1,462.40	$4,341.50	$4,341.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.00 / $4,570.00 / $6,855.00	Professional		$4,570.00	$4,570.00	$6,855.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.42 / $914.00 / $1,096.80	Facility		$537.42	$914.00	$1,096.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $863.84 / $914.00 / $932.28	Professional		$863.84	$914.00	$932.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $594.10 / $1,096.80 / $2,056.50	Professional		$594.10	$1,096.80	$2,056.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.84 / $914.00 / $1,675.36	Facility		$511.84	$914.00	$1,675.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.22 / $872.73 / $1,410.68	Professional		$466.22	$872.73	$1,410.68
United Facility/Professional Facility Modifier Low / Median / High Price $383.88 / $914.00 / $1,096.80	Facility		$383.88	$914.00	$1,096.80
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $563.02	Professional		$383.88	$383.88	$563.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.46 / $846.27 / $914.00	Professional		$356.46	$846.27	$914.00