Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,550.00 / $7,542.00	Facility		$569.00	$2,550.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.83 / $480.45 / $789.89	Professional		$414.83	$480.45	$789.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,138.53 / $2,141.52 / $4,350.80	Facility		$1,138.53	$2,141.52	$4,350.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.84 / $531.41 / $769.43	Professional		$419.84	$531.41	$769.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $432.01 / $433.73	Facility		$80.00	$432.01	$433.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.83 / $768.83 / $768.83	Facility		$768.83	$768.83	$768.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.83 / $596.37 / $913.61	Professional		$453.83	$596.37	$913.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,156.60 / $11,500.00 / $16,394.00	Facility		$2,156.60	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.48 / $3,745.36 / $4,378.43	Professional		$3,330.48	$3,745.36	$4,378.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $546.86 / $867.82	Facility		$429.00	$546.86	$867.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $578.21 / $701.01 / $901.30	Professional		$578.21	$701.01	$901.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $530.23 / $821.50 / $1,743.88	Professional		$530.23	$821.50	$1,743.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.58 / $547.07 / $895.26	Facility		$429.58	$547.07	$895.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.15 / $631.72 / $965.55	Professional		$464.15	$631.72	$965.55
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.96 / $501.28 / $781.95	Professional		$375.96	$501.28	$781.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $481.32 / $675.99	Professional		$427.35	$481.32	$675.99