Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $2,128.00 / $7,513.00	Facility		$474.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.45 / $472.10 / $775.24	Professional		$403.45	$472.10	$775.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.41 / $347.18 / $790.83	Facility		$193.41	$347.18	$790.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.23 / $535.70 / $761.31	Professional		$423.23	$535.70	$761.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $436.59 / $439.17	Facility		$80.00	$436.59	$439.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $773.83 / $773.83 / $773.83	Facility		$773.83	$773.83	$773.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.75 / $604.25 / $928.89	Professional		$459.75	$604.25	$928.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,166.71 / $11,500.00 / $12,000.00	Facility		$2,166.71	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,345.44 / $3,665.20 / $4,272.38	Professional		$3,345.44	$3,665.20	$4,272.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.91 / $558.65 / $869.86	Facility		$440.91	$558.65	$869.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $573.69 / $684.71 / $873.01	Professional		$573.69	$684.71	$873.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $556.89 / $884.84 / $1,777.73	Professional		$556.89	$884.84	$1,777.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.38 / $560.78 / $901.25	Facility		$443.38	$560.78	$901.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $471.56 / $633.26 / $975.97	Professional		$471.56	$633.26	$975.97
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 $375.02 / $502.58 / $794.16	Professional		$375.02	$502.58	$794.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $417.42 / $470.88 / $660.03	Professional		$417.42	$470.88	$660.03