Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.71 / $2,550.00 / $7,495.00	Facility		$549.71	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.17 / $496.70 / $749.02	Professional		$327.17	$496.70	$749.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,326.83 / $4,133.55 / $8,384.57	Facility		$2,326.83	$4,133.55	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.64 / $490.12 / $698.86	Professional		$327.64	$490.12	$698.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $327.36 / $328.92	Facility		$80.00	$327.36	$328.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.71 / $591.71 / $591.71	Facility		$591.71	$591.71	$591.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.05 / $587.49 / $917.02	Professional		$382.05	$587.49	$917.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,660.48 / $11,500.00 / $16,394.00	Facility		$1,660.48	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $160.77 / $178.46 / $178.46	Facility	AS	$160.77	$178.46	$178.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,561.84 / $3,888.48 / $4,347.30	Professional		$2,561.84	$3,888.48	$4,347.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $360.70 / $551.53 / $851.72	Facility		$360.70	$551.53	$851.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.58 / $638.95 / $904.21	Professional		$446.58	$638.95	$904.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $366.76 / $604.61 / $927.56	Professional		$366.76	$604.61	$927.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.70 / $554.10 / $879.87	Facility		$360.70	$554.10	$879.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $173.86	Facility	AS	$59.17	$59.17	$173.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.71 / $598.96 / $1,016.28	Professional		$389.71	$598.96	$1,016.28
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 $426.05 / $584.77 / $906.85	Professional		$426.05	$584.77	$906.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.73 / $483.24 / $680.18	Professional		$428.73	$483.24	$680.18