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 $507.74 / $572.39 / $973.31	Professional		$507.74	$572.39	$973.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,491.08 / $4,325.17 / $8,431.35	Facility		$2,491.08	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.77 / $642.30 / $900.94	Professional		$518.77	$642.30	$900.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $520.71 / $527.42	Facility		$80.00	$520.71	$527.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.16 / $643.16 / $643.16	Facility		$643.16	$643.16	$643.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $757.67 / $1,179.96	Professional		$571.16	$757.67	$1,179.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.60 / $11,500.00 / $26,542.00	Facility		$2,122.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,888.88 / $5,317.68 / $5,493.16	Professional		$4,888.88	$5,317.68	$5,493.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $779.48 / $1,214.01	Facility		$555.64	$779.48	$1,214.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $699.09 / $838.91 / $1,040.24	Professional		$699.09	$838.91	$1,040.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $629.39 / $960.91 / $2,071.34	Professional		$629.39	$960.91	$2,071.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.23 / $781.66 / $1,245.02	Facility		$556.23	$781.66	$1,245.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $573.35 / $796.36 / $1,200.38	Professional		$573.35	$796.36	$1,200.38
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 $435.51 / $602.42 / $987.16	Professional		$435.51	$602.42	$987.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $477.32 / $540.82 / $753.22	Professional		$477.32	$540.82	$753.22