Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.40 / $3,445.00 / $12,040.00	Facility		$590.40	$3,445.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.53 / $638.69 / $1,007.44	Professional		$452.53	$638.69	$1,007.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.86 / $197.55 / $920.87	Facility		$101.86	$197.55	$920.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.00 / $619.91 / $1,069.23	Professional		$442.00	$619.91	$1,069.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $627.12 / $627.12	Facility		$422.72	$627.12	$627.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.51 / $835.51 / $835.51	Facility		$835.51	$835.51	$835.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.66 / $845.45 / $1,344.96	Professional		$544.66	$845.45	$1,344.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,420.51	Facility		$55.00	$55.00	$2,420.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,591.60 / $5,032.64 / $5,753.85	Professional		$3,591.60	$5,032.64	$5,753.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $499.71 / $785.25 / $1,200.28	Facility		$499.71	$785.25	$1,200.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $618.57 / $872.55 / $1,198.07	Professional		$618.57	$872.55	$1,198.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $803.20 / $803.20 / $803.20	Professional		$803.20	$803.20	$803.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.44 / $789.38 / $1,228.58	Facility		$500.44	$789.38	$1,228.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.37 / $893.44 / $1,376.52	Professional		$550.37	$893.44	$1,376.52
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.46 / $794.23 / $1,225.10	Professional		$579.46	$794.23	$1,225.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $572.84 / $649.96 / $909.02	Professional		$572.84	$649.96	$909.02