Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $3,213.00 / $10,546.00	Facility		$649.00	$3,213.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $362.31 / $569.94	Professional		$299.39	$362.31	$569.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.95 / $2,168.62 / $4,594.77	Facility		$1,214.95	$2,168.62	$4,594.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $413.97 / $574.42	Professional		$330.77	$413.97	$574.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $321.67 / $329.12	Facility		$80.00	$321.67	$329.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.60 / $410.60 / $410.60	Facility		$410.60	$410.60	$410.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.40 / $478.03 / $712.01	Professional		$347.40	$478.03	$712.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,037.10 / $11,500.00 / $26,542.00	Facility		$2,037.10	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,020.44 / $4,765.06 / $4,765.06	Professional		$4,020.44	$4,765.06	$4,765.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $341.66 / $433.19 / $786.87	Facility		$341.66	$433.19	$786.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $444.76 / $533.72 / $661.81	Professional		$444.76	$533.72	$661.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $484.40 / $484.40 / $484.40	Professional		$484.40	$484.40	$484.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.57 / $437.02 / $819.59	Facility		$343.57	$437.02	$819.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.88 / $485.38 / $740.33	Professional		$349.88	$485.38	$740.33
United Facility/Professional Facility Modifier Low / Median / High Price $441.00 / $1,697.00 / $4,090.00	Facility		$441.00	$1,697.00	$4,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $378.00 / $599.79	Professional		$282.80	$378.00	$599.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.67 / $345.42 / $478.35	Professional		$303.67	$345.42	$478.35