Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.73 / $2,514.00 / $7,495.00	Facility		$634.73	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.50 / $630.59 / $917.55	Professional		$498.50	$630.59	$917.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,395.56 / $2,563.92 / $5,079.18	Facility		$1,395.56	$2,563.92	$5,079.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.64 / $704.10 / $1,124.45	Professional		$576.64	$704.10	$1,124.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $600.27 / $600.27 / $752.23	Facility		$600.27	$600.27	$752.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $785.05 / $1,193.69	Professional		$630.00	$785.05	$1,193.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,149.11 / $16,394.00 / $16,394.00	Facility		$3,149.11	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,540.72 / $4,991.60 / $6,067.88	Professional		$4,540.72	$4,991.60	$6,067.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.80 / $738.97 / $1,038.84	Facility		$590.80	$738.97	$1,038.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $734.94 / $1,031.54 / $1,279.09	Professional		$734.94	$1,031.54	$1,279.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $607.95 / $745.72 / $970.70	Professional		$607.95	$745.72	$970.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.96 / $738.97 / $1,071.30	Facility		$569.96	$738.97	$1,071.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $648.16 / $833.15 / $1,310.43	Professional		$648.16	$833.15	$1,310.43
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $2,494.00 / $4,764.00	Facility		$745.00	$2,494.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.47 / $732.62 / $1,114.32	Professional		$549.47	$732.62	$1,114.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $586.91 / $665.72 / $922.95	Professional		$586.91	$665.72	$922.95