Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,925.00 / $13,401.00	Facility		$921.00	$3,925.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.59 / $467.47 / $791.70	Professional		$409.59	$467.47	$791.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,352.55 / $8,650.34	Facility		$2,518.44	$4,352.55	$8,650.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.61 / $539.99 / $735.83	Professional		$426.61	$539.99	$735.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $430.74 / $435.76	Facility		$80.00	$430.74	$435.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $526.36 / $526.36	Facility		$526.36	$526.36	$526.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.57 / $607.67 / $930.59	Professional		$451.57	$607.67	$930.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,604.54 / $11,500.00 / $26,542.00	Facility		$2,604.54	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,827.26 / $3,827.26 / $4,000.35	Professional		$3,827.26	$3,827.26	$4,000.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.29 / $574.98 / $928.88	Facility		$442.29	$574.98	$928.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $572.13 / $686.55 / $851.32	Professional		$572.13	$686.55	$851.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $497.16 / $745.73 / $1,046.90	Professional		$497.16	$745.73	$1,046.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.21 / $581.45 / $936.63	Facility		$445.21	$581.45	$936.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.73 / $627.52 / $957.88	Professional		$464.73	$627.52	$957.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.21 / $474.98 / $750.41	Professional		$356.21	$474.98	$750.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.63 / $442.29 / $616.64	Professional		$390.63	$442.29	$616.64