Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,224.00 / $11,453.00	Facility		$732.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.81 / $392.39 / $640.37	Professional		$343.81	$392.39	$640.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,153.50 / $8,314.91 / $15,732.53	Facility		$2,153.50	$8,314.91	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.28 / $443.60 / $622.21	Professional		$358.28	$443.60	$622.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $375.09 / $378.11	Facility		$80.00	$375.09	$378.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $451.96 / $451.96	Facility		$451.96	$451.96	$451.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.51 / $509.70 / $786.38	Professional		$381.51	$509.70	$786.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,489.92 / $19,913.50 / $26,542.00	Facility		$1,489.92	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,435.90 / $3,648.58 / $3,768.98	Professional		$3,435.90	$3,648.58	$3,768.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.23 / $475.65 / $748.44	Facility		$366.23	$475.65	$748.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $491.26 / $589.52 / $731.00	Professional		$491.26	$589.52	$731.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.24 / $458.92 / $888.64	Professional		$420.24	$458.92	$888.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.51 / $480.12 / $800.91	Facility		$367.51	$480.12	$800.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.62 / $526.03 / $805.75	Professional		$397.62	$526.03	$805.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.07 / $411.72 / $638.24	Professional		$308.07	$411.72	$638.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.42 / $379.24 / $529.74	Professional		$335.42	$379.24	$529.74