Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,747.00 / $7,542.00	Facility		$652.00	$2,747.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.96 / $539.02 / $872.35	Professional		$449.96	$539.02	$872.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.45 / $342.87 / $828.06	Facility		$185.45	$342.87	$828.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.01 / $611.66 / $857.93	Professional		$494.01	$611.66	$857.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $503.42 / $507.65	Facility		$80.00	$503.42	$507.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.63 / $615.63 / $615.63	Facility		$615.63	$615.63	$615.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.54 / $660.14 / $988.04	Professional		$497.54	$660.14	$988.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,029.48 / $11,500.00 / $16,394.00	Facility		$2,029.48	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,929.60 / $3,999.76 / $4,680.97	Professional		$3,929.60	$3,999.76	$4,680.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.94 / $588.87 / $939.12	Facility		$474.94	$588.87	$939.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $669.16 / $803.00 / $995.71	Professional		$669.16	$803.00	$995.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $599.74 / $930.84 / $2,035.34	Professional		$599.74	$930.84	$2,035.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.48 / $590.63 / $972.95	Facility		$475.48	$590.63	$972.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $502.26 / $697.59 / $1,046.35	Professional		$502.26	$697.59	$1,046.35
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 $401.49 / $541.77 / $843.59	Professional		$401.49	$541.77	$843.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $456.89 / $516.52 / $721.59	Professional		$456.89	$516.52	$721.59