Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,673.00 / $7,495.00	Facility		$662.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.55 / $544.37 / $707.96	Professional		$456.55	$544.37	$707.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,173.93 / $2,145.44 / $4,142.47	Facility		$1,173.93	$2,145.44	$4,142.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.78 / $578.16 / $658.75	Professional		$456.78	$578.16	$658.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $439.01 / $439.01 / $439.01	Facility		$439.01	$439.01	$439.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.63 / $943.63 / $943.63	Facility		$943.63	$943.63	$943.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.10 / $617.55 / $922.64	Professional		$474.10	$617.55	$922.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,728.65 / $16,394.00 / $16,394.00	Facility		$3,728.65	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,066.00 / $4,066.00 / $4,117.28	Professional		$4,066.00	$4,066.00	$4,117.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.55 / $601.77 / $995.53	Facility		$456.55	$601.77	$995.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $617.30 / $726.52 / $854.73	Professional		$617.30	$726.52	$854.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.10 / $538.10 / $538.10	Professional		$538.10	$538.10	$538.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.55 / $604.95 / $1,139.95	Facility		$456.55	$604.95	$1,139.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.07 / $626.00 / $989.09	Professional		$480.07	$626.00	$989.09
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.70 / $516.54 / $804.35	Professional		$368.70	$516.54	$804.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $405.27 / $456.75 / $642.60	Professional		$405.27	$456.75	$642.60