Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,673.00 / $7,495.00	Facility		$652.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.84 / $460.33 / $565.70	Professional		$396.84	$460.33	$565.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.21 / $479.99 / $668.73	Professional		$379.21	$479.99	$668.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $395.78 / $395.78 / $395.78	Facility		$395.78	$395.78	$395.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,804.61 / $2,804.61 / $2,804.61	Facility		$2,804.61	$2,804.61	$2,804.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.27 / $540.29 / $787.06	Professional		$426.27	$540.29	$787.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,394.00	Facility		$11,500.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,970.50 / $3,008.80 / $3,590.10	Professional		$2,970.50	$3,008.80	$3,590.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $409.25 / $510.33 / $889.34	Facility		$409.25	$510.33	$889.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $609.90 / $731.88	Professional		$528.58	$609.90	$731.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $485.00 / $485.00	Professional		$485.00	$485.00	$485.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.25 / $524.75 / $1,057.18	Facility		$409.25	$524.75	$1,057.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.21 / $552.42 / $831.13	Professional		$406.21	$552.42	$831.13
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 $318.04 / $424.05 / $691.30	Professional		$318.04	$424.05	$691.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.02 / $393.73 / $545.49	Professional		$347.02	$393.73	$545.49