Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.25 / $3,000.00 / $10,836.00	Facility		$644.25	$3,000.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $567.76 / $838.08	Professional		$461.36	$567.76	$838.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.30 / $706.75 / $1,576.94	Facility		$384.30	$706.75	$1,576.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.04 / $571.03 / $943.37	Professional		$442.04	$571.03	$943.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $444.53 / $444.53	Facility		$80.00	$444.53	$444.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.18 / $782.18 / $782.18	Facility		$782.18	$782.18	$782.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.10 / $679.36 / $1,074.93	Professional		$489.10	$679.36	$1,074.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,307.80 / $11,500.00 / $26,542.00	Facility		$3,307.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,481.76 / $4,259.60 / $4,961.55	Professional		$3,481.76	$4,259.60	$4,961.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.71 / $609.32 / $1,036.26	Facility		$468.71	$609.32	$1,036.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $607.63 / $773.36 / $1,022.56	Professional		$607.63	$773.36	$1,022.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $424.50 / $424.50 / $424.50	Professional		$424.50	$424.50	$424.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.64 / $610.53 / $1,090.38	Facility		$469.64	$610.53	$1,090.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.98 / $730.13 / $1,148.09	Professional		$503.98	$730.13	$1,148.09
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $616.64 / $963.50	Professional		$446.76	$616.64	$963.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $547.82 / $777.37	Professional		$488.92	$547.82	$777.37