Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $2,500.00 / $7,495.00	Facility		$575.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.21 / $465.25 / $644.16	Professional		$357.21	$465.25	$644.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,111.10 / $3,990.00 / $7,726.91	Facility		$2,111.10	$3,990.00	$7,726.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.60 / $466.96 / $732.83	Professional		$280.60	$466.96	$732.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $322.70 / $322.70 / $322.70	Facility		$322.70	$322.70	$322.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.67 / $536.87 / $852.74	Professional		$387.67	$536.87	$852.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,957.29 / $16,394.00 / $16,394.00	Facility		$2,957.29	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,674.08 / $3,559.28 / $4,163.03	Professional		$2,674.08	$3,559.28	$4,163.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.41 / $507.78 / $958.95	Facility		$371.41	$507.78	$958.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.03 / $624.03 / $864.04	Professional		$468.03	$624.03	$864.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $328.64 / $471.35 / $663.92	Professional		$328.64	$471.35	$663.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.41 / $510.81 / $997.90	Facility		$371.41	$510.81	$997.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $555.53 / $946.29	Professional		$389.98	$555.53	$946.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,100.00 / $8,226.00	Facility		$1,284.00	$4,100.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.71 / $505.85 / $813.54	Professional		$359.71	$505.85	$813.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.68 / $461.61 / $649.62	Professional		$409.68	$461.61	$649.62