Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.00 / $3,174.00 / $10,836.00	Facility		$514.00	$3,174.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $282.20 / $468.77	Professional		$181.57	$282.20	$468.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,970.96 / $4,252.31 / $7,473.24	Facility		$1,970.96	$4,252.31	$7,473.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $288.98 / $426.04	Professional		$184.09	$288.98	$426.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $211.12 / $213.34	Facility		$80.00	$211.12	$213.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.16 / $381.16 / $381.16	Facility		$381.16	$381.16	$381.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $348.97 / $540.48	Professional		$230.40	$348.97	$540.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.56 / $11,500.00 / $26,542.00	Facility		$1,056.56	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.16 / $2,555.12 / $3,041.93	Professional		$1,634.16	$2,555.12	$3,041.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.48 / $333.32 / $493.19	Facility		$215.48	$333.32	$493.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $289.73 / $414.54 / $625.90	Professional		$289.73	$414.54	$625.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $392.83 / $498.89	Professional		$247.62	$392.83	$498.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.05 / $334.77 / $501.42	Facility		$217.05	$334.77	$501.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $368.07 / $590.44	Professional		$233.25	$368.07	$590.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,451.00 / $7,600.00	Facility		$1,154.00	$3,451.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.06 / $324.08 / $512.04	Professional		$243.06	$324.08	$512.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $333.32 / $469.91	Professional		$296.77	$333.32	$469.91