Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.61 / $2,550.00 / $7,495.00	Facility		$507.61	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.13 / $367.50 / $588.00	Professional		$242.13	$367.50	$588.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,217.52 / $4,243.05 / $8,267.10	Facility		$2,217.52	$4,243.05	$8,267.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.53 / $357.05 / $543.19	Professional		$234.53	$357.05	$543.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $237.51 / $237.84	Facility		$80.00	$237.51	$237.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.98 / $436.98 / $436.98	Facility		$436.98	$436.98	$436.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.72 / $458.08 / $740.95	Professional		$287.72	$458.08	$740.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.44 / $11,500.00 / $16,394.00	Facility		$1,218.44	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.64 / $2,815.68 / $3,217.50	Professional		$1,906.64	$2,815.68	$3,217.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.86 / $414.12 / $652.72	Facility		$264.86	$414.12	$652.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $327.57 / $468.68 / $675.40	Professional		$327.57	$468.68	$675.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.10 / $524.10 / $524.10	Professional		$524.10	$524.10	$524.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.02 / $415.96 / $663.87	Facility		$265.02	$415.96	$663.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $466.99 / $774.85	Professional		$292.60	$466.99	$774.85
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 $347.81 / $469.79 / $731.46	Professional		$347.81	$469.79	$731.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $320.24 / $361.70 / $509.10	Professional		$320.24	$361.70	$509.10