Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,514.00 / $7,495.00	Facility		$569.00	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.36 / $516.59 / $780.40	Professional		$386.36	$516.59	$780.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.35 / $790.26 / $1,757.52	Facility		$442.35	$790.26	$1,757.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.59 / $554.38 / $784.08	Professional		$427.59	$554.38	$784.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $416.28 / $416.28 / $585.42	Facility		$416.28	$416.28	$585.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.07 / $610.20 / $935.35	Professional		$444.07	$610.20	$935.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,353.19 / $16,394.00 / $16,394.00	Facility		$2,353.19	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,329.92 / $4,215.04 / $4,975.50	Professional		$3,329.92	$4,215.04	$4,975.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.19 / $564.79 / $808.62	Facility		$416.19	$564.79	$808.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $564.04 / $781.10 / $1,062.51	Professional		$564.04	$781.10	$1,062.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $440.02 / $574.40 / $758.21	Professional		$440.02	$574.40	$758.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.38 / $564.79 / $812.13	Facility		$414.38	$564.79	$812.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.72 / $642.29 / $1,047.98	Professional		$464.72	$642.29	$1,047.98
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.95 / $603.36 / $861.06	Professional		$439.95	$603.36	$861.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $487.54 / $549.38 / $769.13	Professional		$487.54	$549.38	$769.13