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 / $10,893.00	Facility		$797.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.53 / $541.60 / $913.62	Professional		$470.53	$541.60	$913.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $8,853.29 / $15,732.53	Facility		$3,292.00	$8,853.29	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.80 / $569.27 / $810.68	Professional		$466.80	$569.27	$810.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $469.65 / $472.55	Facility		$80.00	$469.65	$472.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.85 / $589.85 / $589.85	Facility		$589.85	$589.85	$589.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.66 / $740.77 / $1,175.69	Professional		$528.66	$740.77	$1,175.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $19,913.50 / $20,000.00	Facility		$1,800.00	$19,913.50	$20,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,548.79 / $4,548.79 / $4,548.79	Professional		$4,548.79	$4,548.79	$4,548.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $493.24 / $690.93 / $1,139.92	Facility		$493.24	$690.93	$1,139.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $631.98 / $758.37 / $940.38	Professional		$631.98	$758.37	$940.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.32 / $506.14 / $798.78	Professional		$467.32	$506.14	$798.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.85 / $691.71 / $1,166.81	Facility		$493.85	$691.71	$1,166.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.66 / $769.15 / $1,176.24	Professional		$545.66	$769.15	$1,176.24
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 $430.77 / $634.16 / $1,025.05	Professional		$430.77	$634.16	$1,025.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $431.50 / $493.85 / $684.88	Professional		$431.50	$493.85	$684.88