Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,172.00 / $7,513.00	Facility		$569.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.15 / $588.02 / $819.80	Professional		$537.15	$588.02	$819.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.96 / $525.92 / $606.54	Professional		$501.96	$525.92	$606.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $485.13 / $485.13 / $485.13	Facility		$485.13	$485.13	$485.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,860.97 / $6,860.97 / $6,860.97	Facility		$6,860.97	$6,860.97	$6,860.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.82 / $753.40 / $1,155.56	Professional		$576.82	$753.40	$1,155.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,110.45	Facility		$55.00	$55.00	$27,110.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,049.52 / $4,139.04 / $4,608.75	Professional		$4,049.52	$4,139.04	$4,608.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $540.02 / $731.46 / $1,248.43	Facility		$540.02	$731.46	$1,248.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $593.49 / $825.50 / $1,003.54	Professional		$593.49	$825.50	$1,003.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $873.70 / $873.70 / $873.70	Professional		$873.70	$873.70	$873.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $744.86 / $1,409.00	Facility		$540.00	$744.86	$1,409.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $775.70 / $1,182.68	Professional		$581.42	$775.70	$1,182.68
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,193.00 / $4,764.00	Facility		$564.00	$2,193.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.74 / $645.90 / $998.21	Professional		$469.74	$645.90	$998.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $528.90 / $727.79	Professional		$460.48	$528.90	$727.79