Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,244.00 / $7,513.00	Facility		$521.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.62 / $418.32 / $679.34	Professional		$365.62	$418.32	$679.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.33 / $444.66 / $664.06	Professional		$334.33	$444.66	$664.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $359.58 / $360.12	Facility		$80.00	$359.58	$360.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $460.80 / $460.80	Facility		$460.80	$460.80	$460.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.70 / $534.70 / $837.30	Professional		$398.70	$534.70	$837.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,263.62 / $11,500.00 / $12,000.00	Facility		$2,263.62	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,589.56 / $6,589.56 / $6,589.56	Professional		$6,589.56	$6,589.56	$6,589.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.46 / $475.53 / $896.79	Facility		$385.46	$475.53	$896.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $498.95 / $598.74 / $742.44	Professional		$498.95	$598.74	$742.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $444.30 / $444.30 / $444.30	Professional		$444.30	$444.30	$444.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $385.76 / $478.94 / $919.69	Facility		$385.76	$478.94	$919.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.12 / $560.00 / $867.46	Professional		$411.12	$560.00	$867.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.79 / $445.01 / $692.65	Professional		$333.79	$445.01	$692.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $340.67 / $385.46 / $539.54	Professional		$340.67	$385.46	$539.54