Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $2,550.00 / $7,495.00	Facility		$558.00	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.82 / $448.19 / $719.54	Professional		$301.82	$448.19	$719.54
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 $322.57 / $501.71 / $695.38	Professional		$322.57	$501.71	$695.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.07 / $323.07 / $565.16	Facility		$323.07	$323.07	$565.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.34 / $546.15 / $813.00	Professional		$370.34	$546.15	$813.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,775.69 / $16,394.00 / $16,394.00	Facility		$1,775.69	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,545.19 / $3,878.88 / $4,594.64	Professional		$2,545.19	$3,878.88	$4,594.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.47 / $502.07 / $726.18	Facility		$331.47	$502.07	$726.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $432.23 / $658.25 / $979.48	Professional		$432.23	$658.25	$979.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $328.90 / $492.17 / $664.07	Professional		$328.90	$492.17	$664.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.47 / $502.85 / $730.05	Facility		$331.47	$502.85	$730.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.68 / $569.10 / $937.14	Professional		$378.68	$569.10	$937.14
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 $408.17 / $544.23 / $789.13	Professional		$408.17	$544.23	$789.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.44 / $506.01 / $708.41	Professional		$449.44	$506.01	$708.41