Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $3,174.00 / $10,836.00	Facility		$524.00	$3,174.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.21 / $384.88 / $584.21	Professional		$254.21	$384.88	$584.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,272.08 / $4,297.80 / $8,279.29	Facility		$2,272.08	$4,297.80	$8,279.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $384.58 / $579.24	Professional		$256.80	$384.58	$579.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $259.64 / $260.29	Facility		$80.00	$259.64	$260.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.18 / $478.18 / $478.18	Facility		$478.18	$478.18	$478.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.77 / $470.25 / $734.75	Professional		$302.77	$470.25	$734.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.48 / $11,500.00 / $26,542.00	Facility		$1,328.48	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,076.64 / $3,019.12 / $3,483.38	Professional		$2,076.64	$3,019.12	$3,483.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $430.83 / $665.04	Facility		$290.27	$430.83	$665.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.53 / $514.40 / $727.79	Professional		$359.53	$514.40	$727.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $536.10 / $536.10 / $536.10	Professional		$536.10	$536.10	$536.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $434.42 / $677.55	Facility		$290.27	$434.42	$677.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.91 / $476.03 / $798.77	Professional		$306.91	$476.03	$798.77
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 $331.64 / $449.96 / $707.28	Professional		$331.64	$449.96	$707.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $345.08 / $389.47 / $547.97	Professional		$345.08	$389.47	$547.97