Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,224.00 / $11,453.00	Facility		$727.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.30 / $413.05 / $665.20	Professional		$347.30	$413.05	$665.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.44 / $2,168.62 / $4,663.00	Facility		$1,282.44	$2,168.62	$4,663.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.59 / $479.21 / $653.01	Professional		$378.59	$479.21	$653.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $387.68 / $390.86	Facility		$80.00	$387.68	$390.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $469.44	Facility		$469.44	$469.44	$469.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.88 / $532.33 / $788.61	Professional		$399.88	$532.33	$788.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,482.10 / $11,500.00 / $26,542.00	Facility		$3,482.10	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,995.84 / $3,048.64 / $3,570.15	Professional		$2,995.84	$3,048.64	$3,570.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.07 / $469.35 / $741.98	Facility		$376.07	$469.35	$741.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $510.26 / $612.32 / $759.27	Professional		$510.26	$612.32	$759.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $688.60 / $769.76 / $1,554.06	Professional		$688.60	$769.76	$1,554.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.10 / $472.62 / $793.22	Facility		$378.10	$472.62	$793.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.25 / $550.04 / $822.24	Professional		$400.25	$550.04	$822.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.44 / $417.92 / $660.31	Professional		$313.44	$417.92	$660.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $393.85 / $550.21	Professional		$348.39	$393.85	$550.21