Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,643.00 / $10,836.00	Facility		$803.00	$3,643.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.36 / $540.25 / $915.50	Professional		$473.36	$540.25	$915.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,431.35	Facility		$2,436.33	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.43 / $611.96 / $849.97	Professional		$489.43	$611.96	$849.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $494.39 / $500.92	Facility		$80.00	$494.39	$500.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.20 / $608.20 / $608.20	Facility		$608.20	$608.20	$608.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.53 / $699.33 / $1,074.80	Professional		$523.53	$699.33	$1,074.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,010.80 / $11,500.00 / $26,542.00	Facility		$3,010.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,881.76 / $3,956.88 / $4,622.55	Professional		$3,881.76	$3,956.88	$4,622.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.45 / $677.10 / $1,049.34	Facility		$511.45	$677.10	$1,049.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $661.09 / $793.31 / $983.70	Professional		$661.09	$793.31	$983.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $687.50 / $687.50 / $687.50	Professional		$687.50	$687.50	$687.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.32 / $677.36 / $1,067.71	Facility		$515.32	$677.36	$1,067.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $531.40 / $722.47 / $1,101.25	Professional		$531.40	$722.47	$1,101.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.23 / $567.61 / $877.69	Professional		$412.23	$567.61	$877.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $451.37 / $511.45 / $712.27	Professional		$451.37	$511.45	$712.27