Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $2,550.00 / $7,542.00	Facility		$586.00	$2,550.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.61 / $530.87 / $871.68	Professional		$460.61	$530.87	$871.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.45 / $2,141.52 / $4,350.80	Facility		$1,096.45	$2,141.52	$4,350.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.39 / $589.08 / $852.36	Professional		$465.39	$589.08	$852.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $472.56 / $476.35	Facility		$80.00	$472.56	$476.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.82 / $852.82 / $852.82	Facility		$852.82	$852.82	$852.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.27 / $663.90 / $1,014.23	Professional		$506.27	$663.90	$1,014.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,384.16 / $11,500.00 / $16,394.00	Facility		$2,384.16	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,677.68 / $4,109.04 / $4,794.89	Professional		$3,677.68	$4,109.04	$4,794.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.50 / $611.66 / $957.24	Facility		$471.50	$611.66	$957.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $638.41 / $768.04 / $979.25	Professional		$638.41	$768.04	$979.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $587.76 / $769.55 / $1,240.41	Professional		$587.76	$769.55	$1,240.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.95 / $615.95 / $995.21	Facility		$471.95	$615.95	$995.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.65 / $706.62 / $1,068.77	Professional		$519.65	$706.62	$1,068.77
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.19 / $557.58 / $880.98	Professional		$418.19	$557.58	$880.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $468.21 / $528.29 / $740.15	Professional		$468.21	$528.29	$740.15