Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.39 / $3,522.00 / $10,836.00	Facility		$787.39	$3,522.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.69 / $519.47 / $836.43	Professional		$459.69	$519.47	$836.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,352.55 / $8,431.35	Facility		$2,436.33	$4,352.55	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.70 / $599.59 / $817.06	Professional		$473.70	$599.59	$817.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $473.71 / $480.04	Facility		$80.00	$473.71	$480.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $585.13 / $585.13	Facility		$585.13	$585.13	$585.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.35 / $679.07 / $1,037.72	Professional		$504.35	$679.07	$1,037.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,414.55 / $11,500.00 / $26,542.00	Facility		$2,414.55	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,644.56 / $4,644.56 / $4,644.56	Professional		$4,644.56	$4,644.56	$4,644.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $493.17 / $638.65 / $1,050.00	Facility		$493.17	$638.65	$1,050.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $636.01 / $763.22 / $946.39	Professional		$636.01	$763.22	$946.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $500.51 / $556.09 / $636.82	Professional		$500.51	$556.09	$636.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.19 / $645.16 / $1,145.69	Facility		$496.19	$645.16	$1,145.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.70 / $698.73 / $1,065.16	Professional		$519.70	$698.73	$1,065.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.64 / $543.14 / $865.67	Professional		$404.64	$543.14	$865.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $434.25 / $492.12 / $685.08	Professional		$434.25	$492.12	$685.08