Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,620.00 / $12,040.00	Facility		$828.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.38 / $497.82 / $694.91	Professional		$447.38	$497.82	$694.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,580.01 / $4,678.74 / $8,995.25	Facility		$2,580.01	$4,678.74	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.25 / $542.71 / $920.49	Professional		$379.25	$542.71	$920.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $426.72 / $426.72 / $426.72	Facility		$426.72	$426.72	$426.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.57 / $630.80 / $982.01	Professional		$485.57	$630.80	$982.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,295.00 / $8,295.00 / $8,295.00	Professional		$8,295.00	$8,295.00	$8,295.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.23 / $597.71 / $1,245.00	Facility		$465.23	$597.71	$1,245.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $598.38 / $704.24 / $828.52	Professional		$598.38	$704.24	$828.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $689.70 / $689.70 / $689.70	Professional		$689.70	$689.70	$689.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.23 / $602.77 / $1,286.50	Facility		$465.23	$602.77	$1,286.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.75 / $637.66 / $1,059.25	Professional		$485.75	$637.66	$1,059.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.75 / $536.33 / $828.87	Professional		$387.75	$536.33	$828.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.84 / $448.33 / $621.91	Professional		$392.84	$448.33	$621.91