Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.98 / $3,682.00 / $12,826.00	Facility		$804.98	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.99 / $534.72 / $930.75	Professional		$482.99	$534.72	$930.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.48 / $909.61 / $4,634.57	Facility		$529.48	$909.61	$4,634.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.09 / $614.01 / $836.70	Professional		$485.09	$614.01	$836.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $483.88 / $505.75	Facility		$80.00	$483.88	$505.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.54 / $607.54 / $607.54	Facility		$607.54	$607.54	$607.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.41 / $744.54 / $1,135.95	Professional		$532.41	$744.54	$1,135.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,150.43	Facility		$55.00	$55.00	$4,150.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,626.96 / $5,626.96 / $5,626.96	Professional		$5,626.96	$5,626.96	$5,626.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $510.20 / $727.40 / $1,179.65	Facility		$510.20	$727.40	$1,179.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $643.29 / $771.95 / $957.21	Professional		$643.29	$771.95	$957.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $814.70 / $814.70 / $814.70	Professional		$814.70	$814.70	$814.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.20 / $735.53 / $1,207.47	Facility		$510.20	$735.53	$1,207.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $551.75 / $764.19 / $1,143.59	Professional		$551.75	$764.19	$1,143.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.66 / $614.98 / $948.78	Professional		$448.66	$614.98	$948.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.22 / $503.11 / $687.50	Professional		$439.22	$503.11	$687.50