Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.21 / $2,124.00 / $7,316.00	Facility		$489.21	$2,124.00	$7,316.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.67 / $366.91 / $598.28	Facility	54	$316.67	$366.91	$598.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.43 / $523.95 / $861.81	Professional		$449.43	$523.95	$861.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.76 / $342.87 / $828.06	Facility		$189.76	$342.87	$828.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.32 / $590.24 / $822.53	Professional		$466.32	$590.24	$822.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $474.75 / $479.70	Facility		$80.00	$474.75	$479.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.54 / $855.54 / $855.54	Facility		$855.54	$855.54	$855.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $598.88 / $598.88 / $598.88	Facility	54	$598.88	$598.88	$598.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.36 / $674.31 / $1,039.40	Professional		$510.36	$674.31	$1,039.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,920.45 / $11,500.00 / $12,000.00	Facility		$2,920.45	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,639.31 / $1,817.51 / $1,817.51	Facility	54	$1,639.31	$1,817.51	$1,817.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,674.72 / $3,960.88 / $4,621.58	Professional		$3,674.72	$3,960.88	$4,621.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $491.17 / $619.32 / $950.82	Facility		$491.17	$619.32	$950.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $625.50 / $750.60 / $944.03	Professional		$625.50	$750.60	$944.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $604.67 / $966.92 / $1,948.93	Professional		$604.67	$966.92	$1,948.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.17 / $623.28 / $1,007.76	Facility		$491.17	$623.28	$1,007.76
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $598.88 / $598.88 / $1,011.78	Facility	54	$598.88	$598.88	$1,011.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.45 / $701.28 / $1,071.23	Professional		$519.45	$701.28	$1,071.23
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.20 / $561.95 / $875.16	Professional		$409.20	$561.95	$875.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $451.37 / $510.36 / $712.95	Professional		$451.37	$510.36	$712.95