Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,236.00 / $7,513.00	Facility		$521.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.94 / $504.94 / $808.90	Professional		$433.94	$504.94	$808.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.51 / $2,155.07 / $4,283.03	Facility		$1,260.51	$2,155.07	$4,283.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.39 / $584.01 / $795.82	Professional		$461.39	$584.01	$795.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $467.69 / $471.47	Facility		$80.00	$467.69	$471.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.63 / $570.63 / $570.63	Facility		$570.63	$570.63	$570.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.52 / $640.50 / $973.13	Professional		$485.52	$640.50	$973.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,880.68 / $11,500.00 / $12,000.00	Facility		$1,880.68	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,644.24 / $3,716.08 / $4,336.95	Professional		$3,644.24	$3,716.08	$4,336.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.28 / $574.40 / $897.67	Facility		$463.28	$574.40	$897.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $620.25 / $744.30 / $922.93	Professional		$620.25	$744.30	$922.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $558.44 / $863.35 / $1,887.19	Professional		$558.44	$863.35	$1,887.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.53 / $578.70 / $906.42	Facility		$463.53	$578.70	$906.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $487.75 / $660.80 / $1,000.86	Professional		$487.75	$660.80	$1,000.86
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,100.00 / $4,554.00	Facility		$600.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.94 / $508.43 / $798.30	Professional		$378.94	$508.43	$798.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $423.49 / $478.67 / $668.97	Professional		$423.49	$478.67	$668.97