Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,449.00 / $7,316.00	Facility		$515.00	$2,449.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.63 / $400.87 / $625.57	Professional		$267.63	$400.87	$625.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,309.44 / $2,182.17 / $4,503.00	Facility		$1,309.44	$2,182.17	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.47 / $399.13 / $572.63	Professional		$265.47	$399.13	$572.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $268.06 / $268.39	Facility		$80.00	$268.06	$268.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.28 / $494.28 / $494.28	Facility		$494.28	$494.28	$494.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $474.72 / $743.23	Professional		$311.80	$474.72	$743.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,373.44 / $11,500.00 / $16,394.00	Facility		$1,373.44	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,153.04 / $3,145.60 / $3,622.35	Professional		$2,153.04	$3,145.60	$3,622.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $298.52 / $441.58 / $688.29	Facility		$298.52	$441.58	$688.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $364.99 / $532.46 / $757.49	Professional		$364.99	$532.46	$757.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.26 / $432.08 / $709.91	Professional		$286.26	$432.08	$709.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.76 / $441.87 / $690.13	Facility		$299.76	$441.87	$690.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.62 / $492.24 / $832.05	Professional		$316.62	$492.24	$832.05
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 $343.97 / $456.89 / $719.58	Professional		$343.97	$456.89	$719.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.17 / $405.19 / $570.58	Professional		$359.17	$405.19	$570.58