Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,594.00 / $7,542.00	Facility		$652.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $452.91 / $742.98	Professional		$379.44	$452.91	$742.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.51 / $2,155.07 / $4,503.00	Facility		$1,260.51	$2,155.07	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.36 / $515.52 / $723.09	Professional		$416.36	$515.52	$723.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $416.05 / $975.50 / $975.50	Facility		$416.05	$975.50	$975.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.79 / $517.79 / $517.79	Facility		$517.79	$517.79	$517.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.92 / $593.79 / $915.76	Professional		$439.92	$593.79	$915.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,705.60 / $11,500.00 / $16,394.00	Facility		$1,705.60	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,924.90 / $4,370.21 / $4,514.43	Professional		$3,924.90	$4,370.21	$4,514.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.61 / $551.00 / $880.08	Facility		$434.61	$551.00	$880.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $528.15 / $675.39 / $837.48	Professional		$528.15	$675.39	$837.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $481.73 / $758.86 / $816.54	Professional		$481.73	$758.86	$816.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.61 / $554.76 / $915.07	Facility		$434.61	$554.76	$915.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.43 / $606.46 / $935.42	Professional		$453.43	$606.46	$935.42
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 $345.92 / $469.80 / $763.57	Professional		$345.92	$469.80	$763.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.28 / $434.61 / $607.41	Professional		$384.28	$434.61	$607.41