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 $374.21 / $414.53 / $580.97	Professional		$374.21	$414.53	$580.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.97 / $2,993.92 / $6,005.55	Facility		$1,682.97	$2,993.92	$6,005.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.53 / $453.10 / $631.28	Professional		$355.53	$453.10	$631.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $355.31 / $355.31 / $355.31	Facility		$355.31	$355.31	$355.31
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 $404.44 / $531.08 / $842.87	Professional		$404.44	$531.08	$842.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $16,394.00 / $16,394.00	Facility		$9,388.90	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,297.90 / $4,691.53 / $4,846.35	Professional		$3,297.90	$4,691.53	$4,846.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.66 / $521.36 / $1,044.80	Facility		$382.66	$521.36	$1,044.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.98 / $588.44 / $692.28	Professional		$499.98	$588.44	$692.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $898.70 / $898.70 / $898.70	Professional		$898.70	$898.70	$898.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.66 / $524.33 / $1,050.58	Facility		$382.66	$524.33	$1,050.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.43 / $538.69 / $874.00	Professional		$406.43	$538.69	$874.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,226.00 / $7,600.00	Facility		$1,154.00	$3,226.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $449.38 / $694.50	Professional		$326.82	$449.38	$694.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.24 / $374.82 / $519.45	Professional		$328.24	$374.82	$519.45