Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $10,836.00	Facility		$803.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $552.12 / $879.54	Professional		$468.54	$552.12	$879.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.74 / $9,032.74 / $17,886.03	Facility		$4,725.74	$9,032.74	$17,886.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.57 / $622.25 / $872.80	Professional		$502.57	$622.25	$872.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $503.19 / $510.62	Facility		$80.00	$503.19	$510.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.07 / $623.07 / $623.07	Facility		$623.07	$623.07	$623.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.19 / $724.32 / $1,116.16	Professional		$538.19	$724.32	$1,116.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,057.12 / $19,913.50 / $26,542.00	Facility		$2,057.12	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.09 / $5,224.09 / $5,224.09	Professional		$5,224.09	$5,224.09	$5,224.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.33 / $678.86 / $1,194.95	Facility		$524.33	$678.86	$1,194.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $677.25 / $812.70 / $1,007.75	Professional		$677.25	$812.70	$1,007.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $577.84 / $630.37 / $907.02	Professional		$577.84	$630.37	$907.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.55 / $686.58 / $1,225.46	Facility		$528.55	$686.58	$1,225.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $556.84 / $751.15 / $1,136.71	Professional		$556.84	$751.15	$1,136.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.30 / $573.54 / $917.00	Professional		$432.30	$573.54	$917.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $462.41 / $524.33 / $729.47	Professional		$462.41	$524.33	$729.47