Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,244.00 / $7,513.00	Facility		$515.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.73 / $459.64 / $775.62	Professional		$402.73	$459.64	$775.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,199.51 / $4,243.05 / $8,861.33	Facility		$2,199.51	$4,243.05	$8,861.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.45 / $532.19 / $725.21	Professional		$420.45	$532.19	$725.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $408.99 / $412.87	Facility		$80.00	$408.99	$412.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.03 / $520.03 / $520.03	Facility		$520.03	$520.03	$520.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.57 / $596.74 / $914.10	Professional		$443.57	$596.74	$914.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,144.40 / $11,500.00 / $12,000.00	Facility		$2,144.40	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.04 / $3,378.00 / $3,955.73	Professional		$3,317.04	$3,378.00	$3,955.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.76 / $543.60 / $858.44	Facility		$436.76	$543.60	$858.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $565.25 / $678.30 / $841.09	Professional		$565.25	$678.30	$841.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $589.20 / $589.20 / $589.20	Professional		$589.20	$589.20	$589.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.76 / $552.36 / $910.06	Facility		$436.76	$552.36	$910.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.11 / $613.70 / $939.49	Professional		$457.11	$613.70	$939.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.74 / $482.13 / $754.63	Professional		$354.74	$482.13	$754.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $385.94 / $436.76 / $609.19	Professional		$385.94	$436.76	$609.19