Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.37 / $2,550.00 / $7,542.00	Facility		$581.37	$2,550.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $567.90 / $963.22	Professional		$331.98	$567.90	$963.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.35 / $568.29 / $881.91	Professional		$327.35	$568.29	$881.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $324.39 / $324.39	Facility		$80.00	$324.39	$324.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $609.29 / $609.29	Facility		$609.29	$609.29	$609.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.58 / $676.51 / $1,199.18	Professional		$390.58	$676.51	$1,199.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,512.80 / $11,500.00 / $16,394.00	Facility		$2,512.80	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,663.28 / $4,505.20 / $5,233.64	Professional		$2,663.28	$4,505.20	$5,233.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.69 / $604.15 / $1,030.65	Facility		$316.69	$604.15	$1,030.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.14 / $695.98 / $1,089.35	Professional		$462.14	$695.98	$1,089.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $429.20 / $429.20 / $429.20	Professional		$429.20	$429.20	$429.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.18 / $604.65 / $1,039.32	Facility		$317.18	$604.65	$1,039.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $404.57 / $702.67 / $1,256.72	Professional		$404.57	$702.67	$1,256.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.71 / $751.89 / $1,190.73	Professional		$541.71	$751.89	$1,190.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $516.52 / $580.16 / $820.84	Professional		$516.52	$580.16	$820.84