Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,562.00 / $7,542.00	Facility		$515.00	$2,562.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.95 / $387.27 / $593.90	Professional		$260.95	$387.27	$593.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,243.28 / $4,243.05 / $8,279.29	Facility		$2,243.28	$4,243.05	$8,279.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.49 / $381.80 / $573.63	Professional		$256.49	$381.80	$573.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $258.10 / $258.32	Facility		$80.00	$258.10	$258.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $477.61 / $477.61	Facility		$477.61	$477.61	$477.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $471.67 / $758.64	Professional		$307.64	$471.67	$758.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.36 / $11,500.00 / $16,394.00	Facility		$1,328.36	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.76 / $3,117.91 / $3,450.15	Professional		$2,081.76	$3,117.91	$3,450.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $445.79 / $693.51	Facility		$289.37	$445.79	$693.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.27 / $512.60 / $723.73	Professional		$358.27	$512.60	$723.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $484.60 / $484.60 / $484.60	Professional		$484.60	$484.60	$484.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $447.90 / $703.54	Facility		$289.37	$447.90	$703.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.76 / $496.22 / $800.84	Professional		$316.76	$496.22	$800.84
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 $349.92 / $461.55 / $731.71	Professional		$349.92	$461.55	$731.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.15 / $387.64 / $545.37	Professional		$343.15	$387.64	$545.37