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 $421.06 / $508.25 / $812.08	Professional		$421.06	$508.25	$812.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $9,032.74 / $17,826.21	Facility		$4,349.00	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.39 / $589.08 / $802.72	Professional		$465.39	$589.08	$802.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $469.23 / $474.30	Facility		$80.00	$469.23	$474.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.98 / $573.98 / $573.98	Facility		$573.98	$573.98	$573.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.33 / $662.63 / $1,005.33	Professional		$498.33	$662.63	$1,005.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,893.32 / $19,913.50 / $26,542.00	Facility		$1,893.32	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,139.31 / $4,139.31 / $4,364.03	Professional		$4,139.31	$4,139.31	$4,364.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $482.13 / $638.77 / $1,012.71	Facility		$482.13	$638.77	$1,012.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $623.89 / $748.67 / $928.34	Professional		$623.89	$748.67	$928.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $590.20 / $590.20 / $590.20	Professional		$590.20	$590.20	$590.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.69 / $639.62 / $1,027.95	Facility		$485.69	$639.62	$1,027.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $676.42 / $1,040.40	Professional		$505.37	$676.42	$1,040.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $11,178.00	Facility		$1,634.00	$4,425.00	$11,178.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $516.08 / $815.41	Professional		$387.06	$516.08	$815.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.98 / $482.13 / $672.44	Professional		$425.98	$482.13	$672.44