Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,826.00	Facility		$895.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.63 / $552.11 / $896.61	Professional		$484.63	$552.11	$896.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,443.88 / $7,275.80 / $14,212.05	Facility		$3,443.88	$7,275.80	$14,212.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.15 / $577.14 / $856.34	Professional		$439.15	$577.14	$856.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $476.35 / $476.35	Facility		$80.00	$476.35	$476.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.48 / $602.48 / $602.48	Facility		$602.48	$602.48	$602.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.41 / $740.13 / $1,138.00	Professional		$534.41	$740.13	$1,138.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,956.80 / $16,547.20 / $26,542.00	Facility		$2,956.80	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,935.14 / $4,935.14 / $4,935.14	Professional		$4,935.14	$4,935.14	$4,935.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.40 / $679.46 / $1,093.25	Facility		$497.40	$679.46	$1,093.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $652.19 / $782.63 / $970.46	Professional		$652.19	$782.63	$970.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $539.90 / $539.90 / $539.90	Professional		$539.90	$539.90	$539.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.14 / $685.74 / $1,134.00	Facility		$499.14	$685.74	$1,134.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.39 / $763.06 / $1,166.92	Professional		$548.39	$763.06	$1,166.92
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 $438.25 / $599.75 / $934.93	Professional		$438.25	$599.75	$934.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $445.30 / $503.06 / $705.59	Professional		$445.30	$503.06	$705.59