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 $383.97 / $418.88 / $587.51	Professional		$383.97	$418.88	$587.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,992.24 / $4,503.00 / $8,300.99	Facility		$1,992.24	$4,503.00	$8,300.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.67 / $457.78 / $637.79	Professional		$361.67	$457.78	$637.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $360.03 / $360.03 / $360.03	Facility		$360.03	$360.03	$360.03
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 $408.92 / $536.82 / $832.76	Professional		$408.92	$536.82	$832.76
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 $4,956.60 / $4,956.60 / $4,956.60	Professional		$4,956.60	$4,956.60	$4,956.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $394.41 / $516.90 / $1,039.19	Facility		$394.41	$516.90	$1,039.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $505.87 / $595.37 / $700.43	Professional		$505.87	$595.37	$700.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $552.79 / $552.79 / $552.79	Professional		$552.79	$552.79	$552.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.41 / $517.64 / $1,097.85	Facility		$394.41	$517.64	$1,097.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.92 / $544.70 / $905.93	Professional		$408.92	$544.70	$905.93
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 $329.71 / $453.35 / $700.64	Professional		$329.71	$453.35	$700.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.11 / $379.04 / $525.60	Professional		$332.11	$379.04	$525.60