Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.84 / $2,999.00 / $10,836.00	Facility		$613.84	$2,999.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.36 / $505.54 / $770.34	Professional		$372.36	$505.54	$770.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,532.63 / $7,324.30 / $14,454.58	Facility		$3,532.63	$7,324.30	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.51 / $509.37 / $799.71	Professional		$370.51	$509.37	$799.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $368.90 / $371.50	Facility		$80.00	$368.90	$371.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.22 / $678.22 / $678.22	Facility		$678.22	$678.22	$678.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.68 / $590.50 / $889.44	Professional		$411.68	$590.50	$889.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,787.48 / $11,500.00 / $26,542.00	Facility		$2,787.48	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,189.00 / $3,941.84 / $4,662.08	Professional		$3,189.00	$3,941.84	$4,662.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.06 / $560.55 / $838.94	Facility		$397.06	$560.55	$838.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $506.46 / $695.14 / $962.44	Professional		$506.46	$695.14	$962.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.70 / $380.70 / $380.70	Professional		$380.70	$380.70	$380.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.06 / $561.64 / $882.75	Facility		$397.06	$561.64	$882.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.03 / $617.48 / $1,026.94	Professional		$424.03	$617.48	$1,026.94
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 $386.79 / $533.45 / $828.95	Professional		$386.79	$533.45	$828.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $456.34 / $513.55 / $722.72	Professional		$456.34	$513.55	$722.72