Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $2,514.00 / $7,316.00	Facility		$579.00	$2,514.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.48 / $482.65 / $681.06	Professional		$238.48	$482.65	$681.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.85 / $2,799.05 / $5,438.66	Facility		$1,627.85	$2,799.05	$5,438.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.24 / $486.05 / $812.07	Professional		$225.24	$486.05	$812.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $215.90 / $215.90 / $215.90	Facility		$215.90	$215.90	$215.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.74 / $492.54 / $862.76	Professional		$267.74	$492.54	$862.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.28 / $16,394.00 / $16,394.00	Facility		$1,201.28	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,951.96 / $4,157.26 / $4,313.03	Professional		$1,951.96	$4,157.26	$4,313.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.49 / $548.29 / $1,064.98	Facility		$261.49	$548.29	$1,064.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $548.30 / $897.23	Professional		$310.75	$548.30	$897.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $594.29 / $594.29 / $594.29	Professional		$594.29	$594.29	$594.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.50 / $553.63 / $1,102.69	Facility		$261.50	$553.63	$1,102.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.77 / $512.55 / $944.15	Professional		$275.77	$512.55	$944.15
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 $407.36 / $574.26 / $923.36	Professional		$407.36	$574.26	$923.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.42 / $479.18 / $675.16	Professional		$425.42	$479.18	$675.16