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 $359.55 / $416.51 / $705.32	Professional		$359.55	$416.51	$705.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.45 / $2,141.52 / $4,350.80	Facility		$1,093.45	$2,141.52	$4,350.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.23 / $475.58 / $685.95	Professional		$376.23	$475.58	$685.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $384.03 / $385.95	Facility		$80.00	$384.03	$385.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $684.85 / $684.85	Facility		$684.85	$684.85	$684.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.13 / $521.21 / $798.42	Professional		$394.13	$521.21	$798.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,921.00 / $11,500.00 / $16,394.00	Facility		$1,921.00	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,964.08 / $3,336.56 / $3,889.58	Professional		$2,964.08	$3,336.56	$3,889.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.37 / $480.32 / $753.71	Facility		$370.37	$480.32	$753.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $514.28 / $623.13 / $794.49	Professional		$514.28	$623.13	$794.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $466.39 / $680.15 / $1,008.13	Professional		$466.39	$680.15	$1,008.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.37 / $482.52 / $782.02	Facility		$370.37	$482.52	$782.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.03 / $553.29 / $856.17	Professional		$405.03	$553.29	$856.17
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,081.00 / $2,827.00	Facility		$161.00	$1,081.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.51 / $444.15 / $689.95	Professional		$327.51	$444.15	$689.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.87 / $428.09 / $600.84	Professional		$379.87	$428.09	$600.84