Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.45 / $2,514.00 / $7,495.00	Facility		$552.45	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $435.27 / $651.22	Professional		$275.33	$435.27	$651.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,249.51 / $2,509.48 / $4,851.99	Facility		$1,249.51	$2,509.48	$4,851.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.51 / $506.95 / $874.39	Professional		$322.51	$506.95	$874.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $335.98 / $335.98 / $588.60	Facility		$335.98	$335.98	$588.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.96 / $561.14 / $826.27	Professional		$371.96	$561.14	$826.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,401.08 / $16,394.00 / $16,394.00	Facility		$2,401.08	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,505.52 / $3,889.36 / $4,690.20	Professional		$2,505.52	$3,889.36	$4,690.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.75 / $504.08 / $743.81	Facility		$330.75	$504.08	$743.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.83 / $666.34 / $991.51	Professional		$431.83	$666.34	$991.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $367.74 / $563.32 / $784.37	Professional		$367.74	$563.32	$784.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.75 / $504.08 / $749.11	Facility		$330.75	$504.08	$749.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.05 / $580.63 / $963.22	Professional		$383.05	$580.63	$963.22
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.65 / $553.67 / $807.45	Professional		$417.65	$553.67	$807.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $454.96 / $512.11 / $716.95	Professional		$454.96	$512.11	$716.95