Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,620.00 / $12,281.00	Facility		$872.00	$3,620.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $322.52 / $534.67	Professional		$269.06	$322.52	$534.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,274.07 / $2,155.07 / $4,657.29	Facility		$1,274.07	$2,155.07	$4,657.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $369.32 / $511.79	Professional		$294.69	$369.32	$511.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $299.16 / $1,317.52 / $1,317.52	Facility		$299.16	$1,317.52	$1,317.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $367.15 / $367.15	Facility		$367.15	$367.15	$367.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.86 / $415.60 / $650.00	Professional		$311.86	$415.60	$650.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,208.11 / $11,500.00 / $26,542.00	Facility		$1,208.11	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,782.05 / $3,608.17 / $3,727.24	Professional		$2,782.05	$3,608.17	$3,727.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.57 / $374.28 / $611.41	Facility		$300.57	$374.28	$611.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.23 / $478.89 / $593.82	Professional		$392.23	$478.89	$593.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.12 / $577.01 / $1,217.44	Professional		$318.12	$577.01	$1,217.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.89 / $374.31 / $642.95	Facility		$302.89	$374.31	$642.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.18 / $427.18 / $653.10	Professional		$319.18	$427.18	$653.10
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $336.28 / $510.54	Professional		$243.61	$336.28	$510.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.48 / $307.63 / $431.04	Professional		$272.48	$307.63	$431.04