Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.92 / $2,107.00 / $7,316.00	Facility		$482.92	$2,107.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.04 / $508.26 / $860.45	Professional		$430.04	$508.26	$860.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.76 / $347.18 / $769.83	Facility		$189.76	$347.18	$769.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.60 / $576.22 / $813.78	Professional		$457.60	$576.22	$813.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $463.06 / $466.51	Facility		$80.00	$463.06	$466.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $834.70 / $834.70 / $834.70	Facility		$834.70	$834.70	$834.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.74 / $652.83 / $994.95	Professional		$494.74	$652.83	$994.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,863.55 / $11,500.00 / $12,000.00	Facility		$2,863.55	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,599.76 / $3,923.12 / $4,585.05	Professional		$3,599.76	$3,923.12	$4,585.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $476.99 / $597.29 / $934.76	Facility		$476.99	$597.29	$934.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $615.04 / $735.56 / $935.95	Professional		$615.04	$735.56	$935.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $597.29 / $948.20 / $1,934.26	Professional		$597.29	$948.20	$1,934.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.45 / $602.96 / $952.27	Facility		$479.45	$602.96	$952.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.80 / $680.05 / $1,041.81	Professional		$508.80	$680.05	$1,041.81
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 $398.97 / $540.89 / $838.79	Professional		$398.97	$540.89	$838.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $505.03 / $707.25	Professional		$447.51	$505.03	$707.25