Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.17 / $2,496.00 / $7,078.00	Facility		$475.17	$2,496.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.54 / $386.68 / $604.55	Professional		$276.54	$386.68	$604.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.85 / $4,059.90 / $7,805.48	Facility		$2,016.85	$4,059.90	$7,805.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $388.44 / $649.16	Professional		$278.56	$388.44	$649.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $274.07 / $274.08	Facility		$80.00	$274.07	$274.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.71 / $507.71 / $507.71	Facility		$507.71	$507.71	$507.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.82 / $455.53 / $718.33	Professional		$317.82	$455.53	$718.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,101.67 / $11,500.00 / $16,394.00	Facility		$2,101.67	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,211.76 / $3,006.32 / $3,531.60	Professional		$2,211.76	$3,006.32	$3,531.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.14 / $422.06 / $646.63	Facility		$290.14	$422.06	$646.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.13 / $528.15 / $731.29	Professional		$388.13	$528.15	$731.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $353.50 / $353.50	Professional		$353.50	$353.50	$353.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.08 / $422.98 / $665.38	Facility		$292.08	$422.98	$665.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.86 / $475.99 / $790.02	Professional		$322.86	$475.99	$790.02
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.69 / $434.82 / $667.16	Professional		$316.69	$434.82	$667.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.77 / $549.95	Professional		$346.74	$389.77	$549.95