Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,643.00 / $10,718.00	Facility		$797.00	$3,643.00	$10,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.11 / $461.23 / $787.74	Professional		$406.11	$461.23	$787.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,243.05 / $8,384.57	Facility		$2,436.33	$4,243.05	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.76 / $532.58 / $725.74	Professional		$420.76	$532.58	$725.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $428.46 / $433.40	Facility		$80.00	$428.46	$433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $523.76	Facility		$523.76	$523.76	$523.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.08 / $599.88 / $928.81	Professional		$440.08	$599.88	$928.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,727.88 / $11,500.00 / $26,542.00	Facility		$1,727.88	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,424.45 / $3,424.45 / $3,981.53	Professional		$3,424.45	$3,424.45	$3,981.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.08 / $565.82 / $917.40	Facility		$440.08	$565.82	$917.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $534.23 / $683.16 / $847.12	Professional		$534.23	$683.16	$847.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $494.58 / $539.54 / $763.92	Professional		$494.58	$539.54	$763.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.71 / $572.10 / $933.80	Facility		$440.71	$572.10	$933.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.41 / $618.35 / $948.75	Professional		$464.41	$618.35	$948.75
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 $352.94 / $486.61 / $771.23	Professional		$352.94	$486.61	$771.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $440.08 / $613.54	Professional		$388.70	$440.08	$613.54