Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,783.00 / $7,542.00	Facility		$652.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.96 / $377.72 / $643.07	Professional		$330.96	$377.72	$643.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,349.94 / $2,236.39 / $4,495.30	Facility		$1,349.94	$2,236.39	$4,495.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.38 / $423.92 / $594.61	Professional		$342.38	$423.92	$594.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $352.96 / $355.56	Facility		$80.00	$352.96	$355.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $426.66 / $426.66	Facility		$426.66	$426.66	$426.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.02 / $480.04 / $745.39	Professional		$353.02	$480.04	$745.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,406.24 / $11,500.00 / $16,394.00	Facility		$1,406.24	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,237.25 / $3,243.53 / $3,344.07	Professional		$3,237.25	$3,243.53	$3,344.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $360.04 / $491.09 / $760.35	Facility		$360.04	$491.09	$760.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.76 / $556.52 / $690.08	Professional		$463.76	$556.52	$690.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $519.34 / $715.76 / $1,428.77	Professional		$519.34	$715.76	$1,428.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.48 / $491.56 / $782.05	Facility		$361.48	$491.56	$782.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.23 / $500.59 / $768.15	Professional		$363.23	$500.59	$768.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.77 / $378.41 / $617.00	Professional		$275.77	$378.41	$617.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $357.88 / $500.18	Professional		$316.64	$357.88	$500.18