Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,224.00 / $11,453.00	Facility		$748.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.01 / $587.19 / $933.65	Professional		$485.01	$587.19	$933.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,024.84 / $9,391.66 / $17,886.03	Facility		$5,024.84	$9,391.66	$17,886.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.11 / $679.85 / $926.42	Professional		$537.11	$679.85	$926.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $533.80 / $541.04	Facility		$80.00	$533.80	$541.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.02 / $661.02 / $661.02	Facility		$661.02	$661.02	$661.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.72 / $762.85 / $1,169.08	Professional		$570.72	$762.85	$1,169.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,273.00 / $19,913.50 / $26,542.00	Facility		$3,273.00	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,216.56 / $4,297.43 / $5,026.43	Professional		$4,216.56	$4,297.43	$5,026.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.94 / $705.12 / $1,105.50	Facility		$555.94	$705.12	$1,105.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $718.50 / $862.20 / $1,069.13	Professional		$718.50	$862.20	$1,069.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $644.94 / $1,005.05 / $2,162.80	Professional		$644.94	$1,005.05	$2,162.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.94 / $709.77 / $1,163.08	Facility		$555.94	$709.77	$1,163.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.69 / $781.49 / $1,194.18	Professional		$577.69	$781.49	$1,194.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.96 / $597.28 / $958.32	Professional		$447.96	$597.28	$958.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $490.57 / $555.94 / $773.97	Professional		$490.57	$555.94	$773.97