Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,570.00 / $10,836.00	Facility		$797.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.68 / $496.11 / $841.71	Professional		$434.68	$496.11	$841.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,433.61 / $4,352.55 / $9,252.58	Facility		$2,433.61	$4,352.55	$9,252.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.08 / $573.49 / $781.48	Professional		$453.08	$573.49	$781.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $456.18 / $461.71	Facility		$80.00	$456.18	$461.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.46 / $559.46 / $559.46	Facility		$559.46	$559.46	$559.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.77 / $646.29 / $997.34	Professional		$480.77	$646.29	$997.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,846.04 / $11,500.00 / $26,542.00	Facility		$1,846.04	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,635.84 / $4,253.47	Professional		$3,570.00	$3,635.84	$4,253.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $470.23 / $608.03 / $998.55	Facility		$470.23	$608.03	$998.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $608.11 / $729.74 / $904.87	Professional		$608.11	$729.74	$904.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $526.11 / $573.94 / $815.66	Professional		$526.11	$573.94	$815.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $472.48 / $611.29 / $1,033.84	Facility		$472.48	$611.29	$1,033.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $495.74 / $665.76 / $1,017.25	Professional		$495.74	$665.76	$1,017.25
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 $378.94 / $523.32 / $819.93	Professional		$378.94	$523.32	$819.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $470.23 / $655.28	Professional		$415.20	$470.23	$655.28