Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,783.00 / $7,542.00	Facility		$661.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $463.69 / $751.12	Professional		$383.25	$463.69	$751.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,539.42 / $4,352.55 / $8,403.96	Facility		$2,539.42	$4,352.55	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.15 / $536.87 / $731.58	Professional		$424.15	$536.87	$731.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $428.80 / $432.93	Facility		$80.00	$428.80	$432.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.39 / $523.39 / $523.39	Facility		$523.39	$523.39	$523.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.40 / $593.29 / $906.44	Professional		$439.40	$593.29	$906.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,726.12 / $11,500.00 / $16,394.00	Facility		$1,726.12	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,980.55 / $4,432.64 / $4,578.92	Professional		$3,980.55	$4,432.64	$4,578.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $429.71 / $561.07 / $867.67	Facility		$429.71	$561.07	$867.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $568.90 / $682.68 / $846.52	Professional		$568.90	$682.68	$846.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $771.70 / $771.70 / $771.70	Professional		$771.70	$771.70	$771.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.26 / $561.07 / $952.53	Facility		$431.26	$561.07	$952.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.55 / $612.04 / $925.80	Professional		$444.55	$612.04	$925.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.24 / $463.67 / $729.18	Professional		$345.24	$463.67	$729.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.43 / $439.40 / $613.25	Professional		$388.43	$439.40	$613.25