Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.57 / $3,511.00 / $12,040.00	Facility		$646.57	$3,511.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.07 / $533.50 / $851.17	Professional		$384.07	$533.50	$851.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,806.72 / $4,324.00 / $7,199.49	Facility		$1,806.72	$4,324.00	$7,199.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.30 / $519.48 / $745.31	Professional		$375.30	$519.48	$745.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $374.17 / $375.95	Facility		$80.00	$374.17	$375.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.30 / $701.30 / $701.30	Facility		$701.30	$701.30	$701.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.44 / $655.13 / $1,017.61	Professional		$444.44	$655.13	$1,017.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,937.08 / $11,500.00 / $26,542.00	Facility		$1,937.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,041.84 / $4,134.56 / $4,697.33	Professional		$3,041.84	$4,134.56	$4,697.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.49 / $617.00 / $961.30	Facility		$421.49	$617.00	$961.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.85 / $714.44 / $989.23	Professional		$521.85	$714.44	$989.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $425.07 / $709.72 / $985.58	Professional		$425.07	$709.72	$985.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.49 / $619.09 / $978.88	Facility		$421.49	$619.09	$978.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.96 / $690.34 / $1,082.96	Professional		$449.96	$690.34	$1,082.96
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 $457.92 / $627.90 / $986.00	Professional		$457.92	$627.90	$986.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $469.04 / $531.86 / $745.17	Professional		$469.04	$531.86	$745.17