Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.37 / $3,580.00 / $10,234.00	Facility		$568.37	$3,580.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.22 / $381.99 / $644.94	Professional		$304.22	$381.99	$644.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.38 / $3,922.02 / $7,569.24	Facility		$2,123.38	$3,922.02	$7,569.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.45 / $351.22 / $605.76	Professional		$305.45	$351.22	$605.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $334.15 / $334.15 / $334.15	Facility		$334.15	$334.15	$334.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $2,403.30	Facility		$2,403.30	$2,403.30	$2,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.82 / $489.28 / $768.86	Professional		$371.82	$489.28	$768.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.44 / $26,542.00 / $26,542.00	Facility		$2,137.44	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,661.68 / $3,157.76 / $3,750.98	Professional		$2,661.68	$3,157.76	$3,750.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $360.45 / $480.88 / $803.32	Facility		$360.45	$480.88	$803.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.90 / $611.64 / $759.82	Professional		$481.90	$611.64	$759.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $459.80 / $459.80 / $459.80	Professional		$459.80	$459.80	$459.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $364.46 / $484.73 / $879.80	Facility		$364.46	$484.73	$879.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.16 / $517.23 / $835.00	Professional		$373.16	$517.23	$835.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,100.00 / $8,226.00	Facility		$1,284.00	$4,100.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.60 / $444.15 / $697.48	Professional		$326.60	$444.15	$697.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.27 / $407.41 / $565.95	Professional		$360.27	$407.41	$565.95