Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,352.00 / $11,453.00	Facility		$732.00	$3,352.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.21 / $433.76 / $733.19	Professional		$383.21	$433.76	$733.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,418.26	Facility		$2,436.33	$4,325.17	$8,418.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.62 / $478.51 / $654.07	Professional		$376.62	$478.51	$654.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $367.93 / $368.50	Facility		$80.00	$367.93	$368.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $469.44	Facility		$469.44	$469.44	$469.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.99 / $616.48 / $903.01	Professional		$422.99	$616.48	$903.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,928.20 / $11,500.00 / $26,542.00	Facility		$1,928.20	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,222.57 / $3,328.91 / $3,496.20	Professional		$3,222.57	$3,328.91	$3,496.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.99 / $545.83 / $882.60	Facility		$407.99	$545.83	$882.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $510.26 / $612.32 / $759.27	Professional		$510.26	$612.32	$759.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $614.20 / $614.20 / $614.20	Professional		$614.20	$614.20	$614.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.99 / $550.58 / $933.96	Facility		$407.99	$550.58	$933.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.86 / $637.97 / $953.88	Professional		$440.86	$637.97	$953.88
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 $374.61 / $499.48 / $805.66	Professional		$374.61	$499.48	$805.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $396.32 / $552.42	Professional		$348.39	$396.32	$552.42