Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.17 / $2,550.00 / $7,542.00	Facility		$540.17	$2,550.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $423.76 / $671.26	Professional		$303.70	$423.76	$671.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $4,160.92 / $7,473.24	Facility		$1,987.00	$4,160.92	$7,473.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.19 / $418.62 / $630.50	Professional		$299.19	$418.62	$630.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $308.39 / $312.11	Facility		$80.00	$308.39	$312.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.65 / $565.65 / $565.65	Facility		$565.65	$565.65	$565.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.21 / $530.61 / $834.41	Professional		$358.21	$530.61	$834.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,538.04 / $11,500.00 / $16,394.00	Facility		$1,538.04	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,418.88 / $3,483.30 / $3,918.53	Professional		$2,418.88	$3,483.30	$3,918.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.27 / $489.39 / $768.92	Facility		$326.27	$489.39	$768.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $427.23 / $584.91 / $809.89	Professional		$427.23	$584.91	$809.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.37 / $483.37 / $750.31	Professional		$352.37	$483.37	$750.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.92 / $495.54 / $768.92	Facility		$326.92	$495.54	$768.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.81 / $553.80 / $893.40	Professional		$366.81	$553.80	$893.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.14 / $510.38 / $802.17	Professional		$377.14	$510.38	$802.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.01 / $433.07 / $607.88	Professional		$384.01	$433.07	$607.88