Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,224.00 / $11,453.00	Facility		$747.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.28 / $476.13 / $774.15	Professional		$397.28	$476.13	$774.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,107.84 / $4,232.37 / $8,157.60	Facility		$2,107.84	$4,232.37	$8,157.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.93 / $553.86 / $757.06	Professional		$435.93	$553.86	$757.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $444.90 / $448.97	Facility		$80.00	$444.90	$448.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $541.62 / $541.62	Facility		$541.62	$541.62	$541.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.67 / $619.26 / $957.39	Professional		$462.67	$619.26	$957.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,785.88 / $11,500.00 / $26,542.00	Facility		$1,785.88	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,367.00 / $4,709.89 / $4,865.33	Professional		$4,367.00	$4,709.89	$4,865.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.66 / $569.28 / $896.35	Facility		$448.66	$569.28	$896.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.71 / $706.46 / $876.00	Professional		$588.71	$706.46	$876.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $449.32 / $531.23 / $887.80	Professional		$449.32	$531.23	$887.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.86 / $574.40 / $954.47	Facility		$453.86	$574.40	$954.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.26 / $636.30 / $973.72	Professional		$472.26	$636.30	$973.72
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 $365.45 / $497.75 / $780.01	Professional		$365.45	$497.75	$780.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $401.96 / $454.60 / $634.70	Professional		$401.96	$454.60	$634.70