Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,826.00	Facility		$895.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.58 / $475.77 / $772.26	Professional		$392.58	$475.77	$772.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,114.23 / $8,793.46 / $15,732.53	Facility		$3,114.23	$8,793.46	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.61 / $550.12 / $749.63	Professional		$434.61	$550.12	$749.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $437.64 / $442.81	Facility		$80.00	$437.64	$442.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $536.77 / $536.77	Facility		$536.77	$536.77	$536.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.32 / $608.23 / $921.92	Professional		$460.32	$608.23	$921.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,214.00 / $19,913.50 / $26,542.00	Facility		$2,214.00	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,424.48 / $3,488.56 / $4,081.80	Professional		$3,424.48	$3,488.56	$4,081.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.88 / $534.75 / $844.64	Facility		$433.88	$534.75	$844.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $583.45 / $700.14 / $868.17	Professional		$583.45	$700.14	$868.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $451.10 / $812.95 / $1,691.40	Professional		$451.10	$812.95	$1,691.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.12 / $539.98 / $885.14	Facility		$439.12	$539.98	$885.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.41 / $631.98 / $956.71	Professional		$470.41	$631.98	$956.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,451.00 / $8,600.00	Facility		$1,154.00	$3,451.00	$8,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.70 / $489.95 / $760.77	Professional		$362.70	$489.95	$760.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.37 / $451.10 / $628.70	Professional		$398.37	$451.10	$628.70