Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,219.00 / $11,453.00	Facility		$759.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.06 / $549.87 / $958.73	Professional		$484.06	$549.87	$958.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,512.96 / $4,325.17 / $8,568.21	Facility		$2,512.96	$4,325.17	$8,568.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.95 / $593.26 / $852.63	Professional		$490.95	$593.26	$852.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $504.81 / $514.52	Facility		$80.00	$504.81	$514.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $614.15	Facility		$614.15	$614.15	$614.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.51 / $727.15 / $1,116.86	Professional		$539.51	$727.15	$1,116.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,030.20 / $11,500.00 / $26,542.00	Facility		$2,030.20	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,919.52 / $3,958.72 / $4,664.63	Professional		$3,919.52	$3,958.72	$4,664.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $528.59 / $686.93 / $1,065.01	Facility		$528.59	$686.93	$1,065.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.55 / $801.06 / $993.31	Professional		$667.55	$801.06	$993.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $638.54 / $966.92	Professional		$594.00	$638.54	$966.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.59 / $686.93 / $1,092.69	Facility		$528.59	$686.93	$1,092.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.25 / $754.66 / $1,151.47	Professional		$548.25	$754.66	$1,151.47
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 $434.96 / $593.70 / $924.99	Professional		$434.96	$593.70	$924.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $455.79 / $518.23 / $718.36	Professional		$455.79	$518.23	$718.36