Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.91 / $3,174.00 / $10,836.00	Facility		$610.91	$3,174.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.36 / $459.10 / $699.94	Professional		$301.36	$459.10	$699.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,389.82 / $2,455.80 / $4,780.35	Facility		$1,389.82	$2,455.80	$4,780.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.41 / $472.78 / $796.26	Professional		$304.41	$472.78	$796.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $306.48 / $307.49	Facility		$80.00	$306.48	$307.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $557.65 / $557.65	Facility		$557.65	$557.65	$557.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.09 / $523.16 / $860.76	Professional		$341.09	$523.16	$860.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,303.52 / $11,500.00 / $26,542.00	Facility		$2,303.52	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,417.76 / $3,668.00 / $4,340.03	Professional		$2,417.76	$3,668.00	$4,340.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.64 / $484.76 / $783.43	Facility		$302.64	$484.76	$783.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.39 / $610.05 / $895.48	Professional		$426.39	$610.05	$895.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $401.10 / $401.10 / $401.10	Professional		$401.10	$401.10	$401.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.14 / $490.78 / $789.86	Facility		$304.14	$490.78	$789.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $555.55 / $953.59	Professional		$350.94	$555.55	$953.59
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 $397.44 / $531.58 / $825.17	Professional		$397.44	$531.58	$825.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $424.59 / $476.44 / $673.15	Professional		$424.59	$476.44	$673.15