Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $3,102.00 / $10,836.00	Facility		$589.00	$3,102.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.99 / $453.59 / $691.19	Professional		$299.99	$453.59	$691.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,326.83 / $4,297.80 / $8,279.29	Facility		$2,326.83	$4,297.80	$8,279.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.12 / $451.41 / $686.75	Professional		$300.12	$451.41	$686.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $304.88 / $305.87	Facility		$80.00	$304.88	$305.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.61 / $555.61 / $555.61	Facility		$555.61	$555.61	$555.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.30 / $546.80 / $869.13	Professional		$353.30	$546.80	$869.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.60 / $11,500.00 / $26,542.00	Facility		$1,545.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,409.44 / $3,537.92 / $4,105.13	Professional		$2,409.44	$3,537.92	$4,105.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.05 / $499.71 / $768.25	Facility		$332.05	$499.71	$768.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.77 / $599.24 / $855.31	Professional		$410.77	$599.24	$855.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.56 / $543.00 / $855.22	Professional		$341.56	$543.00	$855.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.41 / $500.60 / $776.98	Facility		$334.41	$500.60	$776.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.54 / $561.35 / $933.76	Professional		$361.54	$561.35	$933.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,100.00 / $8,226.00	Facility		$1,391.00	$4,100.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.33 / $532.79 / $829.68	Professional		$392.33	$532.79	$829.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $405.54 / $457.24 / $643.66	Professional		$405.54	$457.24	$643.66