Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,128.00 / $7,513.00	Facility		$500.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.25 / $544.89 / $890.99	Professional		$473.25	$544.89	$890.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.45 / $2,141.52 / $4,277.00	Facility		$1,093.45	$2,141.52	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.09 / $603.88 / $874.36	Professional		$477.09	$603.88	$874.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $483.39 / $487.50	Facility		$80.00	$483.39	$487.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.58 / $876.58 / $876.58	Facility		$876.58	$876.58	$876.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.66 / $688.93 / $1,052.21	Professional		$523.66	$688.93	$1,052.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,443.48 / $11,500.00 / $12,000.00	Facility		$2,443.48	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,774.64 / $4,220.80 / $4,936.20	Professional		$3,774.64	$4,220.80	$4,936.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.00 / $635.09 / $993.91	Facility		$486.00	$635.09	$993.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $655.75 / $790.23 / $1,007.54	Professional		$655.75	$790.23	$1,007.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $601.24 / $790.65 / $1,274.15	Professional		$601.24	$790.65	$1,274.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.00 / $641.14 / $1,024.88	Facility		$486.00	$641.14	$1,024.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $534.28 / $728.68 / $1,109.29	Professional		$534.28	$728.68	$1,109.29
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 $430.10 / $583.39 / $907.70	Professional		$430.10	$583.39	$907.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $481.74 / $543.65 / $761.35	Professional		$481.74	$543.65	$761.35