Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.38 / $3,570.00 / $10,893.00	Facility		$755.38	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.14 / $631.39 / $916.99	Professional		$560.14	$631.39	$916.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.91 / $1,288.91 / $2,774.30	Facility		$730.91	$1,288.91	$2,774.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.14 / $677.11 / $994.95	Professional		$519.14	$677.11	$994.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $582.27 / $582.27 / $596.26	Facility		$582.27	$582.27	$596.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.19 / $2,024.00 / $4,619.00	Facility		$691.19	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.80 / $791.53 / $1,235.68	Professional		$589.80	$791.53	$1,235.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,559.68	Facility		$55.00	$55.00	$5,559.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,646.20 / $4,646.20 / $5,292.00	Professional		$4,646.20	$4,646.20	$5,292.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.16 / $697.27 / $1,288.08	Facility		$569.16	$697.27	$1,288.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $689.66 / $917.54 / $1,115.44	Professional		$689.66	$917.54	$1,115.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $796.20 / $1,572.50	Professional		$7.00	$796.20	$1,572.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $704.03 / $1,356.86	Facility		$571.29	$704.03	$1,356.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $614.52 / $830.70 / $1,507.25	Professional		$614.52	$830.70	$1,507.25
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.22 / $649.61 / $1,024.50	Professional		$474.22	$649.61	$1,024.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $511.83 / $595.40 / $804.55	Professional		$511.83	$595.40	$804.55