Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,236.00 / $7,513.00	Facility		$524.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $555.72 / $883.55	Professional		$480.66	$555.72	$883.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.36 / $914.94 / $3,341.76	Facility		$534.36	$914.94	$3,341.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.56 / $624.15 / $875.45	Professional		$507.56	$624.15	$875.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $502.10 / $509.23	Facility		$80.00	$502.10	$509.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.67 / $625.67 / $625.67	Facility		$625.67	$625.67	$625.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.88 / $706.58 / $1,072.00	Professional		$530.88	$706.58	$1,072.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,171.70	Facility		$55.00	$55.00	$3,171.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,990.56 / $4,066.16 / $4,758.14	Professional		$3,990.56	$4,066.16	$4,758.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $506.53 / $629.41 / $1,029.35	Facility		$506.53	$629.41	$1,029.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $680.09 / $816.11 / $1,011.97	Professional		$680.09	$816.11	$1,011.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $495.60 / $904.94 / $1,181.03	Professional		$495.60	$904.94	$1,181.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.38 / $631.54 / $1,096.09	Facility		$513.38	$631.54	$1,096.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $542.71 / $736.75 / $1,121.63	Professional		$542.71	$736.75	$1,121.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.79 / $575.49 / $891.73	Professional		$422.79	$575.49	$891.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $526.29 / $732.54	Professional		$464.35	$526.29	$732.54