Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $12,377.00	Facility		$872.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $432.13 / $707.58	Professional		$373.27	$432.13	$707.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,325.17 / $8,431.35	Facility		$2,518.44	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.60 / $499.47 / $680.61	Professional		$394.60	$499.47	$680.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $400.61 / $404.53	Facility		$80.00	$400.61	$404.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $487.67 / $487.67	Facility		$487.67	$487.67	$487.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.42 / $548.38 / $850.22	Professional		$417.42	$548.38	$850.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.15 / $11,500.00 / $26,542.00	Facility		$2,010.15	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,616.50 / $4,616.50 / $4,616.50	Professional		$4,616.50	$4,616.50	$4,616.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.55 / $510.50 / $872.00	Facility		$403.55	$510.50	$872.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $530.08 / $636.09 / $788.75	Professional		$530.08	$636.09	$788.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $470.88 / $713.28 / $947.97	Professional		$470.88	$713.28	$947.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.73 / $513.00 / $936.90	Facility		$404.73	$513.00	$936.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.62 / $568.69 / $863.69	Professional		$419.62	$568.69	$863.69
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 $323.81 / $448.55 / $698.39	Professional		$323.81	$448.55	$698.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.92 / $409.46 / $571.48	Professional		$361.92	$409.46	$571.48