Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,550.00 / $7,495.00	Facility		$569.00	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.17 / $454.69 / $743.57	Professional		$394.17	$454.69	$743.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.42 / $2,141.52 / $4,350.80	Facility		$1,111.42	$2,141.52	$4,350.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.05 / $505.69 / $729.42	Professional		$400.05	$505.69	$729.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $406.28 / $409.15	Facility		$80.00	$406.28	$409.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.13 / $730.13 / $730.13	Facility		$730.13	$730.13	$730.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.08 / $571.79 / $863.95	Professional		$432.08	$571.79	$863.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.28 / $11,500.00 / $16,394.00	Facility		$2,041.28	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,151.60 / $3,518.40 / $4,112.25	Professional		$3,151.60	$3,518.40	$4,112.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.13 / $514.76 / $818.90	Facility		$399.13	$514.76	$818.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.28 / $658.45 / $839.52	Professional		$547.28	$658.45	$839.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $495.59 / $721.99 / $1,062.79	Professional		$495.59	$721.99	$1,062.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.08 / $515.16 / $849.69	Facility		$400.08	$515.16	$849.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.02 / $604.46 / $914.61	Professional		$444.02	$604.46	$914.61
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $960.00 / $2,434.12	Facility		$161.00	$960.00	$2,434.12
United Facility/Professional Professional Modifier Low / Median / High Price $357.02 / $482.21 / $741.78	Professional		$357.02	$482.21	$741.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $452.69 / $634.59	Professional		$401.40	$452.69	$634.59