Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,620.00 / $12,480.00	Facility		$828.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $534.97 / $892.35	Professional		$469.61	$534.97	$892.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,492.38 / $7,081.77 / $14,697.11	Facility		$3,492.38	$7,081.77	$14,697.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $529.67 / $856.54	Professional		$415.00	$529.67	$856.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $457.33 / $461.31	Facility		$80.00	$457.33	$461.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $594.91 / $594.91	Facility		$594.91	$594.91	$594.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.39 / $697.98 / $1,076.68	Professional		$512.39	$697.98	$1,076.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $16,547.20	Facility		$55.00	$2,000.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,864.16 / $4,864.16 / $4,864.16	Professional		$4,864.16	$4,864.16	$4,864.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $510.59 / $668.77 / $1,091.40	Facility		$510.59	$668.77	$1,091.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.71 / $774.86 / $960.82	Professional		$645.71	$774.86	$960.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $617.50 / $617.50	Professional		$617.50	$617.50	$617.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.59 / $669.93 / $1,114.11	Facility		$510.59	$669.93	$1,114.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $530.36 / $726.60 / $1,109.97	Professional		$530.36	$726.60	$1,109.97
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 $417.30 / $553.22 / $879.49	Professional		$417.30	$553.22	$879.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $440.88 / $500.58 / $697.61	Professional		$440.88	$500.58	$697.61