Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.01 / $3,682.00 / $12,281.00	Facility		$714.01	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.36 / $659.15 / $1,011.32	Professional		$560.36	$659.15	$1,011.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.04 / $1,126.53 / $4,993.84	Facility		$680.04	$1,126.53	$4,993.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.74 / $746.47 / $1,017.20	Professional		$589.74	$746.47	$1,017.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $521.74 / $544.03	Facility		$80.00	$521.74	$544.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $654.41 / $654.41	Facility		$654.41	$654.41	$654.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.01 / $895.24 / $1,390.10	Professional		$605.01	$895.24	$1,390.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,205.25	Facility		$55.00	$55.00	$3,205.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,831.09 / $4,912.80 / $4,990.52	Professional		$4,831.09	$4,912.80	$4,990.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.14 / $854.97 / $1,355.46	Facility		$570.14	$854.97	$1,355.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.05 / $834.06 / $1,034.23	Professional		$695.05	$834.06	$1,034.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $916.16 / $1,154.38	Professional		$631.04	$916.16	$1,154.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.80 / $855.60 / $1,408.48	Facility		$571.80	$855.60	$1,408.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $623.28 / $915.65 / $1,390.10	Professional		$623.28	$915.65	$1,390.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.70 / $708.93 / $1,134.29	Professional		$531.70	$708.93	$1,134.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.56 / $542.99 / $743.19	Professional		$474.56	$542.99	$743.19