Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.00 / $2,128.00 / $7,513.00	Facility		$437.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.35 / $394.19 / $612.55	Professional		$214.35	$394.19	$612.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $725.95 / $1,286.67 / $2,720.37	Facility		$725.95	$1,286.67	$2,720.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.23 / $376.47 / $595.87	Professional		$222.23	$376.47	$595.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $210.92 / $822.93 / $822.93	Facility		$210.92	$822.93	$822.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $417.02 / $417.02	Facility		$417.02	$417.02	$417.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $441.92 / $757.10	Professional		$266.70	$441.92	$757.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,398.20 / $11,500.00 / $12,000.00	Facility		$1,398.20	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,789.68 / $3,562.26 / $3,679.82	Professional		$1,789.68	$3,562.26	$3,679.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.10 / $429.62 / $688.43	Facility		$240.10	$429.62	$688.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.08 / $481.34 / $753.41	Professional		$309.08	$481.34	$753.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $749.50 / $749.50 / $749.50	Professional		$749.50	$749.50	$749.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.20 / $434.24 / $699.73	Facility		$240.20	$434.24	$699.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $464.73 / $828.21	Professional		$269.77	$464.73	$828.21
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.33 / $462.42 / $729.40	Professional		$343.33	$462.42	$729.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $403.24 / $567.12	Professional		$357.23	$403.24	$567.12