Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.49 / $3,120.00 / $11,453.00	Facility		$533.49	$3,120.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.74 / $475.24 / $762.04	Professional		$325.74	$475.24	$762.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,075.37 / $9,092.56 / $18,364.59	Facility		$5,075.37	$9,092.56	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.37 / $463.79 / $691.61	Professional		$318.37	$463.79	$691.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $318.80 / $319.56	Facility		$80.00	$318.80	$319.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.22 / $595.22 / $595.22	Facility		$595.22	$595.22	$595.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.77 / $574.79 / $909.03	Professional		$376.77	$574.79	$909.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.56 / $11,500.00 / $26,542.00	Facility		$1,644.56	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,278.00 / $3,959.35 / $4,219.13	Professional		$3,278.00	$3,959.35	$4,219.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $359.34 / $549.85 / $833.45	Facility		$359.34	$549.85	$833.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $444.90 / $636.54 / $885.58	Professional		$444.90	$636.54	$885.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $342.49 / $503.00 / $831.16	Professional		$342.49	$503.00	$831.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.34 / $551.99 / $847.69	Facility		$359.34	$551.99	$847.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.89 / $602.16 / $970.47	Professional		$383.89	$602.16	$970.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.60 / $551.52 / $883.19	Professional		$409.60	$551.52	$883.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $419.90 / $474.95 / $667.12	Professional		$419.90	$474.95	$667.12