Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,131.00 / $7,513.00	Facility		$521.00	$2,131.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $529.79 / $862.50	Professional		$344.78	$529.79	$862.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,822.42 / $4,133.55 / $7,336.37	Facility		$1,822.42	$4,133.55	$7,336.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.14 / $574.25 / $790.66	Professional		$373.14	$574.25	$790.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $378.99 / $382.16	Facility		$80.00	$378.99	$382.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.34 / $680.34 / $680.34	Facility		$680.34	$680.34	$680.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.57 / $611.73 / $992.44	Professional		$405.57	$611.73	$992.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,899.20 / $11,500.00 / $12,000.00	Facility		$1,899.20	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,931.04 / $4,412.64 / $5,245.73	Professional		$2,931.04	$4,412.64	$5,245.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.02 / $528.72 / $872.24	Facility		$376.02	$528.72	$872.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $518.91 / $742.44 / $1,080.05	Professional		$518.91	$742.44	$1,080.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $423.42 / $613.61 / $758.78	Professional		$423.42	$613.61	$758.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.38 / $529.79 / $907.46	Facility		$376.38	$529.79	$907.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.26 / $646.76 / $1,111.55	Professional		$414.26	$646.76	$1,111.55
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 $434.94 / $602.20 / $984.59	Professional		$434.94	$602.20	$984.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.11 / $575.00 / $811.13	Professional		$512.11	$575.00	$811.13