Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.03 / $3,682.00 / $12,281.00	Facility		$885.03	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.03 / $565.21 / $905.26	Professional		$474.03	$565.21	$905.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,326.83 / $4,324.00 / $8,294.46	Facility		$2,326.83	$4,324.00	$8,294.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.19 / $653.29 / $892.97	Professional		$514.19	$653.29	$892.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $516.75 / $523.39	Facility		$80.00	$516.75	$523.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.95 / $637.95 / $637.95	Facility		$637.95	$637.95	$637.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.54 / $717.02 / $1,094.10	Professional		$541.54	$717.02	$1,094.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,158.40 / $11,500.00 / $26,542.00	Facility		$3,158.40	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,851.53 / $9,877.00 / $9,877.00	Professional		$4,851.53	$9,877.00	$9,877.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.52 / $645.69 / $1,018.42	Facility		$520.52	$645.69	$1,018.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $693.43 / $832.11 / $1,031.82	Professional		$693.43	$832.11	$1,031.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $704.70 / $719.42 / $929.59	Professional		$704.70	$719.42	$929.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.66 / $654.73 / $1,055.65	Facility		$520.66	$654.73	$1,055.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.36 / $744.79 / $1,119.38	Professional		$545.36	$744.79	$1,119.38
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 $431.99 / $575.99 / $896.35	Professional		$431.99	$575.99	$896.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $473.45 / $536.38 / $747.05	Professional		$473.45	$536.38	$747.05