Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,869.00 / $14,449.00	Facility		$803.00	$3,869.00	$14,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.26 / $276.50 / $369.80	Professional		$201.26	$276.50	$369.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,944.00 / $15,243.99 / $29,175.62	Facility		$4,944.00	$15,243.99	$29,175.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $220.26 / $382.44	Professional		$205.31	$220.26	$382.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $221.15 / $221.15 / $221.15	Facility		$221.15	$221.15	$221.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,995.43 / $18,328.00 / $20,473.00	Facility		$3,995.43	$18,328.00	$20,473.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.97 / $423.55 / $645.23	Professional		$324.97	$423.55	$645.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,204.71 / $5,386.21 / $5,386.21	Facility		$2,204.71	$5,386.21	$5,386.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,386.21 / $5,386.21 / $5,386.21	Professional		$5,386.21	$5,386.21	$5,386.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.80 / $497.92 / $3,735.70	Facility		$287.80	$497.92	$3,735.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $3,557.81 / $10,096.00	Professional		$281.33	$3,557.81	$10,096.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $325.14 / $499.63	Professional		$69.70	$325.14	$499.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.85 / $466.33 / $3,995.43	Facility		$250.85	$466.33	$3,995.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.72 / $433.47 / $663.63	Professional		$323.72	$433.47	$663.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $8,215.00 / $28,319.00	Facility		$2,605.00	$8,215.00	$28,319.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $369.58 / $603.39	Professional		$282.83	$369.58	$603.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,557.81 / $3,557.81 / $4,803.04	Professional		$3,557.81	$3,557.81	$4,803.04