Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,783.00 / $7,542.00	Facility		$662.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.07 / $544.41 / $915.51	Professional		$487.07	$544.41	$915.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,618.78 / $4,434.67 / $8,403.96	Facility		$2,618.78	$4,434.67	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.02 / $620.24 / $845.19	Professional		$490.02	$620.24	$845.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $483.58 / $491.88	Facility		$80.00	$483.58	$491.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.99 / $602.99 / $602.99	Facility		$602.99	$602.99	$602.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.73 / $731.91 / $1,228.08	Professional		$543.73	$731.91	$1,228.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,486.28 / $11,500.00 / $16,394.00	Facility		$3,486.28	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,159.39 / $6,371.67 / $6,581.94	Professional		$5,159.39	$6,371.67	$6,581.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $498.55 / $767.75 / $1,288.58	Facility		$498.55	$767.75	$1,288.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $655.43 / $786.51 / $975.27	Professional		$655.43	$786.51	$975.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $610.62 / $929.55 / $1,988.31	Professional		$610.62	$929.55	$1,988.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.10 / $784.79 / $1,304.91	Facility		$501.10	$784.79	$1,304.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.21 / $766.47 / $1,224.90	Professional		$548.21	$766.47	$1,224.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.45 / $606.99 / $989.81	Professional		$441.45	$606.99	$989.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $507.97 / $705.58	Professional		$447.51	$507.97	$705.58