Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,224.00 / $11,453.00	Facility		$748.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.86 / $552.23 / $930.34	Professional		$483.86	$552.23	$930.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.59 / $1,110.22 / $1,603.98	Facility		$198.59	$1,110.22	$1,603.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.87 / $637.78 / $869.08	Professional		$503.87	$637.78	$869.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $501.25 / $508.60	Facility		$80.00	$501.25	$508.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $620.84 / $620.84	Facility		$620.84	$620.84	$620.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.44 / $718.26 / $1,083.19	Professional		$522.44	$718.26	$1,083.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,074.76 / $11,500.00 / $26,542.00	Facility		$3,074.76	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,241.68 / $4,241.68 / $4,719.68	Professional		$4,241.68	$4,241.68	$4,719.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.44 / $650.15 / $1,020.96	Facility		$522.44	$650.15	$1,020.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $674.83 / $809.79 / $1,004.14	Professional		$674.83	$809.79	$1,004.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $665.80 / $665.80 / $665.80	Professional		$665.80	$665.80	$665.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $522.44 / $651.24 / $1,046.63	Facility		$522.44	$651.24	$1,046.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $736.56 / $1,126.40	Professional		$526.98	$736.56	$1,126.40
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $563.00 / $880.44	Professional		$421.12	$563.00	$880.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $460.75 / $522.44 / $726.83	Professional		$460.75	$522.44	$726.83