Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,128.00 / $7,316.00	Facility		$521.00	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.82 / $567.94 / $925.97	Professional		$491.82	$567.94	$925.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,141.52 / $4,277.00	Facility		$1,100.00	$2,141.52	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.26 / $647.13 / $907.40	Professional		$511.26	$647.13	$907.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $516.55 / $521.09	Facility		$80.00	$516.55	$521.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.84 / $938.84 / $938.84	Facility		$938.84	$938.84	$938.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.74 / $731.74 / $1,111.89	Professional		$556.74	$731.74	$1,111.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,617.28 / $11,500.00 / $12,000.00	Facility		$2,617.28	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,040.40 / $4,366.64 / $5,105.85	Professional		$4,040.40	$4,366.64	$5,105.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.45 / $660.22 / $1,041.81	Facility		$511.45	$660.22	$1,041.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $688.18 / $825.81 / $1,042.17	Professional		$688.18	$825.81	$1,042.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $631.95 / $981.23 / $2,098.88	Professional		$631.95	$981.23	$2,098.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.38 / $666.87 / $1,081.08	Facility		$512.38	$666.87	$1,081.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.32 / $762.49 / $1,166.83	Professional		$570.32	$762.49	$1,166.83
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.07 / $613.29 / $947.82	Professional		$446.07	$613.29	$947.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $498.30 / $562.83 / $787.25	Professional		$498.30	$562.83	$787.25