Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $2,128.00 / $7,513.00	Facility		$466.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.92 / $418.37 / $693.02	Professional		$357.92	$418.37	$693.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.45 / $2,141.52 / $4,277.00	Facility		$1,093.45	$2,141.52	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.44 / $471.42 / $683.64	Professional		$372.44	$471.42	$683.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $380.15 / $382.98	Facility		$80.00	$380.15	$382.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.27 / $683.27 / $683.27	Facility		$683.27	$683.27	$683.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.66 / $534.22 / $820.33	Professional		$406.66	$534.22	$820.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,910.68 / $11,500.00 / $12,000.00	Facility		$1,910.68	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,949.28 / $3,301.68 / $3,849.83	Professional		$2,949.28	$3,301.68	$3,849.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $485.00 / $772.17	Facility		$378.00	$485.00	$772.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $511.81 / $616.78 / $786.40	Professional		$511.81	$616.78	$786.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.23 / $675.08 / $997.37	Professional		$463.23	$675.08	$997.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $487.77 / $796.87	Facility		$378.00	$487.77	$796.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.34 / $566.51 / $864.88	Professional		$416.34	$566.51	$864.88
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.09 / $446.79 / $697.65	Professional		$335.09	$446.79	$697.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.00 / $424.15 / $594.50	Professional		$376.00	$424.15	$594.50