Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,826.00	Facility		$895.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.04 / $560.27 / $900.28	Professional		$482.04	$560.27	$900.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,512.96 / $4,352.55 / $8,431.35	Facility		$2,512.96	$4,352.55	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.46 / $628.30 / $881.29	Professional		$507.46	$628.30	$881.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $515.98 / $521.49	Facility		$80.00	$515.98	$521.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.01 / $632.01 / $632.01	Facility		$632.01	$632.01	$632.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.72 / $709.68 / $1,078.34	Professional		$539.72	$709.68	$1,078.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,606.00 / $11,500.00 / $26,542.00	Facility		$2,606.00	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,033.28 / $4,107.68 / $4,805.10	Professional		$4,033.28	$4,107.68	$4,805.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $627.51 / $998.44	Facility		$513.00	$627.51	$998.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $686.96 / $824.36 / $1,022.20	Professional		$686.96	$824.36	$1,022.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.70 / $630.70 / $630.70	Professional		$630.70	$630.70	$630.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.17 / $632.01 / $1,040.98	Facility		$513.17	$632.01	$1,040.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $741.82 / $1,120.79	Professional		$549.97	$741.82	$1,120.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.23 / $570.58 / $890.24	Professional		$425.23	$570.58	$890.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $469.04 / $530.91 / $740.41	Professional		$469.04	$530.91	$740.41