Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,224.00 / $11,453.00	Facility		$748.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.61 / $573.41 / $929.88	Professional		$483.61	$573.41	$929.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $8,853.29 / $15,732.53	Facility		$3,292.00	$8,853.29	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.08 / $642.69 / $901.47	Professional		$519.08	$642.69	$901.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $525.91 / $532.20	Facility		$80.00	$525.91	$532.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.51 / $646.51 / $646.51	Facility		$646.51	$646.51	$646.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.17 / $746.74 / $1,150.03	Professional		$563.17	$746.74	$1,150.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,133.32 / $19,913.50 / $26,542.00	Facility		$2,133.32	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,139.31 / $4,201.52 / $4,916.33	Professional		$4,139.31	$4,201.52	$4,916.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $543.34 / $725.29 / $1,103.14	Facility		$543.34	$725.29	$1,103.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $702.73 / $843.27 / $1,045.65	Professional		$702.73	$843.27	$1,045.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $723.70 / $723.70 / $723.70	Professional		$723.70	$723.70	$723.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.50 / $726.83 / $1,141.83	Facility		$547.50	$726.83	$1,141.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $574.41 / $774.55 / $1,175.77	Professional		$574.41	$774.55	$1,175.77
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 $441.12 / $589.96 / $943.39	Professional		$441.12	$589.96	$943.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.80 / $543.34 / $757.20	Professional		$479.80	$543.34	$757.20