Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.23 / $2,166.00 / $7,513.00	Facility		$523.23	$2,166.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.12 / $502.13 / $822.75	Professional		$434.12	$502.13	$822.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.33 / $366.59 / $1,068.75	Facility		$211.33	$366.59	$1,068.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.80 / $564.34 / $791.57	Professional		$455.80	$564.34	$791.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $462.31 / $467.10	Facility		$80.00	$462.31	$467.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $568.02	Facility		$568.02	$568.02	$568.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.79 / $639.73 / $953.94	Professional		$485.79	$639.73	$953.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,873.40 / $11,500.00 / $12,000.00	Facility		$1,873.40	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,624.88 / $3,688.56 / $4,319.10	Professional		$3,624.88	$3,688.56	$4,319.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.97 / $555.26 / $885.47	Facility		$445.97	$555.26	$885.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $740.90 / $918.71	Professional		$617.41	$740.90	$918.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.50 / $879.38 / $1,876.89	Professional		$564.50	$879.38	$1,876.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.21 / $564.91 / $938.09	Facility		$446.21	$564.91	$938.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.56 / $661.45 / $999.67	Professional		$489.56	$661.45	$999.67
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.22 / $505.62 / $783.71	Professional		$379.22	$505.62	$783.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $421.55 / $476.97 / $665.54	Professional		$421.55	$476.97	$665.54