Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $3,102.00 / $10,893.00	Facility		$671.00	$3,102.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.30 / $612.02 / $1,038.39	Professional		$485.30	$612.02	$1,038.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.17 / $745.05 / $2,842.43	Facility		$444.17	$745.05	$2,842.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.19 / $554.41 / $882.89	Professional		$445.19	$554.41	$882.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $578.71 / $578.71	Facility		$80.00	$578.71	$578.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.94 / $963.94 / $963.94	Facility		$963.94	$963.94	$963.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.44 / $755.04 / $1,153.91	Professional		$509.44	$755.04	$1,153.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $4,294.38	Facility		$55.00	$2,000.00	$4,294.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,316.16 / $5,380.24 / $6,303.30	Professional		$4,316.16	$5,380.24	$6,303.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $464.64 / $658.73 / $1,071.42	Facility		$464.64	$658.73	$1,071.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $755.65 / $979.47 / $1,305.95	Professional		$755.65	$979.47	$1,305.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $370.60 / $370.60 / $370.60	Professional		$370.60	$370.60	$370.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.64 / $666.17 / $1,098.78	Facility		$464.64	$666.17	$1,098.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $792.63 / $1,274.43	Professional		$535.66	$792.63	$1,274.43
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 $468.42 / $631.26 / $971.91	Professional		$468.42	$631.26	$971.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $619.22 / $691.62 / $984.88	Professional		$619.22	$691.62	$984.88