Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,783.00 / $7,542.00	Facility		$662.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.59 / $519.91 / $869.74	Professional		$436.59	$519.91	$869.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,727.92 / $4,133.55 / $7,281.62	Facility		$1,727.92	$4,133.55	$7,281.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.84 / $586.67 / $822.90	Professional		$473.84	$586.67	$822.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $481.71 / $3,040.06 / $3,040.06	Facility		$481.71	$3,040.06	$3,040.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.85 / $580.85 / $580.85	Facility		$580.85	$580.85	$580.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.06 / $624.64 / $956.66	Professional		$473.06	$624.64	$956.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,910.40 / $11,500.00 / $16,394.00	Facility		$1,910.40	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,702.40 / $3,805.36 / $4,410.00	Professional		$3,702.40	$3,805.36	$4,410.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $469.42 / $582.02 / $913.90	Facility		$469.42	$582.02	$913.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.35 / $756.42 / $937.96	Professional		$630.35	$756.42	$937.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $563.22 / $847.72 / $1,068.24	Professional		$563.22	$847.72	$1,068.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.17 / $583.07 / $919.64	Facility		$474.17	$583.07	$919.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.76 / $657.52 / $999.75	Professional		$485.76	$657.52	$999.75
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,100.00 / $4,554.00	Facility		$600.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.13 / $504.17 / $784.71	Professional		$378.13	$504.17	$784.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $430.39 / $485.89 / $680.09	Professional		$430.39	$485.89	$680.09