Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.08 / $2,201.04 / $6,153.00	Facility		$566.08	$2,201.04	$6,153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.49 / $566.08 / $868.77	Professional		$434.49	$566.08	$868.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.24 / $2,563.92 / $4,981.81	Facility		$1,444.24	$2,563.92	$4,981.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.32 / $593.14 / $866.50	Professional		$462.32	$593.14	$866.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $452.70 / $452.70 / $645.41	Facility		$452.70	$452.70	$645.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.30 / $676.83 / $1,024.90	Professional		$510.30	$676.83	$1,024.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,580.01 / $16,394.00 / $16,394.00	Facility		$2,580.01	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,663.20 / $4,603.28 / $5,440.05	Professional		$3,663.20	$4,603.28	$5,440.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $472.55 / $628.42 / $892.30	Facility		$472.55	$628.42	$892.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $621.04 / $874.01 / $1,248.58	Professional		$621.04	$874.01	$1,248.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.04 / $643.53 / $873.51	Professional		$487.04	$643.53	$873.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $472.55 / $628.42 / $901.32	Facility		$472.55	$628.42	$901.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.92 / $706.55 / $1,144.35	Professional		$519.92	$706.55	$1,144.35
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 $484.23 / $645.64 / $982.02	Professional		$484.23	$645.64	$982.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $532.80 / $600.88 / $841.23	Professional		$532.80	$600.88	$841.23