Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,682.00 / $12,377.00	Facility		$882.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.46 / $568.99 / $892.40	Professional		$470.46	$568.99	$892.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.77 / $2,168.62 / $4,699.00	Facility		$1,263.77	$2,168.62	$4,699.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.17 / $658.42 / $897.22	Professional		$520.17	$658.42	$897.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $530.92 / $535.00	Facility		$80.00	$530.92	$535.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $644.64 / $644.64	Facility		$644.64	$644.64	$644.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.19 / $724.88 / $1,085.41	Professional		$540.19	$724.88	$1,085.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,125.32 / $11,500.00 / $26,542.00	Facility		$2,125.32	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,113.68 / $4,185.35 / $4,902.89	Professional		$4,113.68	$4,185.35	$4,902.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.29 / $618.03 / $1,003.27	Facility		$497.29	$618.03	$1,003.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $700.70 / $840.84 / $1,042.64	Professional		$700.70	$840.84	$1,042.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $628.60 / $628.60 / $628.60	Professional		$628.60	$628.60	$628.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $498.54 / $621.98 / $1,053.61	Facility		$498.54	$621.98	$1,053.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $556.52 / $751.99 / $1,146.38	Professional		$556.52	$751.99	$1,146.38
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,193.00 / $4,509.00	Facility		$600.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $585.17 / $920.97	Professional		$429.83	$585.17	$920.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.42 / $540.85 / $755.54	Professional		$478.42	$540.85	$755.54