Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,682.00 / $12,377.00	Facility		$828.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $513.77 / $850.50	Professional		$447.70	$513.77	$850.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.09 / $593.75 / $809.09	Professional		$469.09	$593.75	$809.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $473.67 / $478.58	Facility		$80.00	$473.67	$478.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $578.80	Facility		$578.80	$578.80	$578.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.05 / $664.03 / $1,011.97	Professional		$497.05	$664.03	$1,011.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,863.68 / $11,500.00 / $26,542.00	Facility		$2,863.68	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,332.49 / $4,332.49 / $4,401.08	Professional		$4,332.49	$4,332.49	$4,401.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.09 / $618.74 / $1,038.00	Facility		$486.09	$618.74	$1,038.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.14 / $754.97 / $936.16	Professional		$629.14	$754.97	$936.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $547.52 / $821.29 / $1,151.91	Professional		$547.52	$821.29	$1,151.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.09 / $619.52 / $1,092.00	Facility		$486.09	$619.52	$1,092.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.59 / $680.61 / $1,039.98	Professional		$503.59	$680.61	$1,039.98
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 $389.23 / $529.98 / $832.66	Professional		$389.23	$529.98	$832.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $486.09 / $678.15	Professional		$429.56	$486.09	$678.15