Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,213.00 / $11,822.00	Facility		$747.00	$3,213.00	$11,822.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.52 / $527.84 / $854.02	Professional		$434.52	$527.84	$854.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,272.08 / $4,297.80 / $8,294.46	Facility		$2,272.08	$4,297.80	$8,294.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.48 / $628.41 / $856.34	Professional		$496.48	$628.41	$856.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $554.25 / $568.21	Facility		$80.00	$554.25	$568.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.78 / $613.78 / $613.78	Facility		$613.78	$613.78	$613.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.03 / $654.80 / $1,007.68	Professional		$491.03	$654.80	$1,007.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,061.44 / $11,500.00 / $26,542.00	Facility		$3,061.44	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,783.52 / $3,855.60 / $4,809.38	Professional		$3,783.52	$3,855.60	$4,809.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.80 / $574.32 / $954.00	Facility		$440.80	$574.32	$954.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.15 / $800.58 / $992.72	Professional		$667.15	$800.58	$992.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $608.10 / $608.10 / $608.10	Professional		$608.10	$608.10	$608.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.02 / $575.76 / $995.35	Facility		$441.02	$575.76	$995.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.99 / $689.78 / $1,066.73	Professional		$500.99	$689.78	$1,066.73
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 $397.46 / $526.66 / $837.45	Professional		$397.46	$526.66	$837.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $455.51 / $513.83 / $713.00	Professional		$455.51	$513.83	$713.00