Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,783.00 / $7,542.00	Facility		$669.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.99 / $576.55 / $959.46	Professional		$499.99	$576.55	$959.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,916.21 / $4,215.67 / $7,254.24	Facility		$1,916.21	$4,215.67	$7,254.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.03 / $665.83 / $907.31	Professional		$526.03	$665.83	$907.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $525.49 / $532.04	Facility		$80.00	$525.49	$532.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.37 / $648.37 / $648.37	Facility		$648.37	$648.37	$648.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $747.57 / $1,143.99	Professional		$558.54	$747.57	$1,143.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,209.40 / $11,553.65 / $16,394.00	Facility		$3,209.40	$11,553.65	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,220.39 / $4,294.39 / $4,928.47	Professional		$4,220.39	$4,294.39	$4,928.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.86 / $671.62 / $1,060.97	Facility		$542.86	$671.62	$1,060.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $704.75 / $845.70 / $1,048.67	Professional		$704.75	$845.70	$1,048.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $804.40 / $804.40 / $804.40	Professional		$804.40	$804.40	$804.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.09 / $683.17 / $1,140.31	Facility		$545.09	$683.17	$1,140.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.12 / $763.63 / $1,168.20	Professional		$566.12	$763.63	$1,168.20
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 $438.49 / $584.65 / $925.88	Professional		$438.49	$584.65	$925.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $545.09 / $759.38	Professional		$481.19	$545.09	$759.38