Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $2,673.00 / $7,542.00	Facility		$696.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.33 / $646.30 / $1,041.32	Professional		$554.33	$646.30	$1,041.32
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 $593.36 / $708.08 / $1,006.21	Professional		$593.36	$708.08	$1,006.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $615.88 / $615.88	Facility		$80.00	$615.88	$615.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $722.52	Facility		$722.52	$722.52	$722.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.45 / $789.75 / $1,204.16	Professional		$601.45	$789.75	$1,204.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,357.00 / $11,500.00 / $16,394.00	Facility		$2,357.00	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,578.96 / $4,738.00 / $5,452.35	Professional		$4,578.96	$4,738.00	$5,452.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $594.04 / $752.52 / $1,171.48	Facility		$594.04	$752.52	$1,171.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $779.15 / $934.98 / $1,159.38	Professional		$779.15	$934.98	$1,159.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $702.76 / $781.08 / $1,152.95	Professional		$702.76	$781.08	$1,152.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $598.45 / $755.87 / $1,200.66	Facility		$598.45	$755.87	$1,200.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $821.46 / $1,252.42	Professional		$611.10	$821.46	$1,252.42
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,063.00 / $4,509.00	Facility		$600.00	$2,063.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.24 / $628.32 / $992.75	Professional		$471.24	$628.32	$992.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $531.98 / $598.45 / $841.81	Professional		$531.98	$598.45	$841.81