Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.19 / $3,647.00 / $12,377.00	Facility		$845.19	$3,647.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.67 / $587.41 / $994.02	Professional		$514.67	$587.41	$994.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.17 / $4,325.17 / $8,431.35	Facility		$2,487.17	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.53 / $659.35 / $924.83	Professional		$532.53	$659.35	$924.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $533.47 / $540.70	Facility		$80.00	$533.47	$540.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $660.27 / $660.27	Facility		$660.27	$660.27	$660.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.42 / $762.38 / $1,157.69	Professional		$569.42	$762.38	$1,157.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,269.16 / $11,500.00 / $26,542.00	Facility		$3,269.16	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,212.72 / $4,294.80 / $5,019.83	Professional		$4,212.72	$4,294.80	$5,019.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.32 / $709.60 / $1,084.00	Facility		$555.32	$709.60	$1,084.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $717.69 / $861.23 / $1,067.92	Professional		$717.69	$861.23	$1,067.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $739.60 / $739.60 / $739.60	Professional		$739.60	$739.60	$739.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.64 / $716.05 / $1,143.33	Facility		$556.64	$716.05	$1,143.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.91 / $786.59 / $1,197.40	Professional		$579.91	$786.59	$1,197.40
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 $447.69 / $596.91 / $938.88	Professional		$447.69	$596.91	$938.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $490.02 / $555.32 / $773.15	Professional		$490.02	$555.32	$773.15