Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $2,747.00 / $8,328.00	Facility		$689.00	$2,747.00	$8,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.50 / $628.41 / $1,000.22	Professional		$524.50	$628.41	$1,000.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,403.96	Facility		$2,436.33	$4,325.17	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.42 / $725.82 / $989.07	Professional		$573.42	$725.82	$989.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $573.24 / $580.71	Facility		$80.00	$573.24	$580.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.19 / $809.35 / $1,239.69	Professional		$595.19	$809.35	$1,239.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,957.00	Facility		$55.00	$55.00	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,515.68 / $4,597.92 / $5,382.98	Professional		$4,515.68	$4,597.92	$5,382.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.38 / $731.59 / $1,146.88	Facility		$583.38	$731.59	$1,146.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $769.44 / $923.33 / $1,144.92	Professional		$769.44	$923.33	$1,144.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.70 / $588.70 / $588.70	Professional		$588.70	$588.70	$588.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $584.55 / $742.48 / $1,173.93	Facility		$584.55	$742.48	$1,173.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $618.16 / $835.44 / $1,278.40	Professional		$618.16	$835.44	$1,278.40
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 $478.82 / $654.49 / $1,029.79	Professional		$478.82	$654.49	$1,029.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $525.35 / $595.19 / $828.94	Professional		$525.35	$595.19	$828.94