Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $2,816.00 / $8,328.00	Facility		$696.00	$2,816.00	$8,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.85 / $577.40 / $970.66	Professional		$503.85	$577.40	$970.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.51 / $2,155.07 / $4,427.80	Facility		$1,260.51	$2,155.07	$4,427.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.66 / $675.62 / $947.66	Professional		$545.66	$675.62	$947.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $551.61 / $557.41	Facility		$80.00	$551.61	$557.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.25 / $679.25 / $679.25	Facility		$679.25	$679.25	$679.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $737.18 / $1,139.77	Professional		$562.79	$737.18	$1,139.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,240.19 / $11,500.00 / $16,394.00	Facility		$2,240.19	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,336.08 / $4,417.04 / $5,163.08	Professional		$4,336.08	$4,417.04	$5,163.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.40 / $676.07 / $1,059.60	Facility		$533.40	$676.07	$1,059.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $738.31 / $885.98 / $1,098.60	Professional		$738.31	$885.98	$1,098.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.88 / $796.94 / $1,302.80	Professional		$660.88	$796.94	$1,302.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $533.41 / $679.46 / $1,091.99	Facility		$533.41	$679.46	$1,091.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.48 / $764.21 / $1,165.22	Professional		$570.48	$764.21	$1,165.22
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,100.00 / $4,554.00	Facility		$600.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.61 / $599.00 / $927.35	Professional		$434.61	$599.00	$927.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $504.10 / $570.48 / $795.87	Professional		$504.10	$570.48	$795.87