Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,562.00 / $7,495.00	Facility		$569.00	$2,562.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $418.42 / $619.38	Professional		$275.83	$418.42	$619.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,994.25 / $3,640.66 / $7,026.24	Facility		$1,994.25	$3,640.66	$7,026.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.11 / $496.17 / $687.70	Professional		$308.11	$496.17	$687.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $307.39 / $307.39 / $553.63	Facility		$307.39	$307.39	$553.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.91 / $523.17 / $787.64	Professional		$350.91	$523.17	$787.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,677.61 / $16,394.00 / $16,394.00	Facility		$1,677.61	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,394.88 / $3,754.80 / $4,459.72	Professional		$2,394.88	$3,754.80	$4,459.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.23 / $486.80 / $701.89	Facility		$312.23	$486.80	$701.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.56 / $638.04 / $949.40	Professional		$407.56	$638.04	$949.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $489.92 / $650.97	Professional		$312.20	$489.92	$650.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.43 / $487.82 / $708.21	Facility		$313.43	$487.82	$708.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.17 / $547.19 / $888.62	Professional		$357.17	$547.19	$888.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $532.95 / $772.78	Professional		$387.06	$532.95	$772.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $435.64 / $489.92 / $685.89	Professional		$435.64	$489.92	$685.89