Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,186.00 / $10,893.00	Facility		$767.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.54 / $589.54 / $970.06	Professional		$516.54	$589.54	$970.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.73 / $2,195.73 / $4,663.00	Facility		$1,314.73	$2,195.73	$4,663.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.65 / $681.80 / $929.08	Professional		$538.65	$681.80	$929.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $540.73 / $547.54	Facility		$80.00	$540.73	$547.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.48 / $665.48 / $665.48	Facility		$665.48	$665.48	$665.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.17 / $767.52 / $1,161.20	Professional		$571.17	$767.52	$1,161.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,843.35 / $11,500.00 / $26,542.00	Facility		$3,843.35	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,991.29 / $4,991.29 / $5,059.43	Professional		$4,991.29	$4,991.29	$5,059.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $547.99 / $672.43 / $1,271.21	Facility		$547.99	$672.43	$1,271.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $723.35 / $868.02 / $1,076.33	Professional		$723.35	$868.02	$1,076.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $962.93 / $1,095.98 / $2,201.91	Professional		$962.93	$1,095.98	$2,201.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.99 / $679.04 / $1,303.67	Facility		$547.99	$679.04	$1,303.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.91 / $786.18 / $1,208.84	Professional		$588.91	$786.18	$1,208.84
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 $450.67 / $622.19 / $969.24	Professional		$450.67	$622.19	$969.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $493.89 / $559.51 / $779.36	Professional		$493.89	$559.51	$779.36