Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,213.00 / $11,453.00	Facility		$767.00	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.75 / $582.90 / $930.61	Professional		$481.75	$582.90	$930.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.23 / $4,379.92 / $8,431.35	Facility		$2,587.23	$4,379.92	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.78 / $655.94 / $920.05	Professional		$529.78	$655.94	$920.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $530.85 / $538.01	Facility		$80.00	$530.85	$538.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.56 / $656.56 / $656.56	Facility		$656.56	$656.56	$656.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.41 / $759.40 / $1,165.53	Professional		$566.41	$759.40	$1,165.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,167.12 / $11,500.00 / $26,542.00	Facility		$2,167.12	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,188.96 / $4,270.39 / $4,991.55	Professional		$4,188.96	$4,270.39	$4,991.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $556.54 / $711.96 / $1,098.55	Facility		$556.54	$711.96	$1,098.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $669.69 / $856.38 / $1,061.91	Professional		$669.69	$856.38	$1,061.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $579.79 / $946.72 / $2,104.01	Professional		$579.79	$946.72	$2,104.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.54 / $715.33 / $1,149.63	Facility		$556.54	$715.33	$1,149.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.71 / $781.83 / $1,198.18	Professional		$580.71	$781.83	$1,198.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,563.00 / $7,019.00 / $16,000.00	Facility		$2,563.00	$7,019.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.29 / $599.66 / $942.32	Professional		$452.29	$599.66	$942.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $487.26 / $552.17 / $768.80	Professional		$487.26	$552.17	$768.80