Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,768.00 / $7,542.00	Facility		$661.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.14 / $494.72 / $818.40	Professional		$430.14	$494.72	$818.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,716.57 / $5,381.57	Facility		$1,530.22	$2,716.57	$5,381.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.35 / $664.13 / $882.21	Professional		$482.35	$664.13	$882.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $537.41 / $550.54	Facility		$80.00	$537.41	$550.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.57 / $592.57 / $592.57	Facility		$592.57	$592.57	$592.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $635.19 / $934.75	Professional		$475.33	$635.19	$934.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,954.94 / $11,500.00 / $16,394.00	Facility		$2,954.94	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,654.88 / $3,726.96 / $4,641.14	Professional		$3,654.88	$3,726.96	$4,641.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.14 / $543.16 / $911.73	Facility		$430.14	$543.16	$911.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $644.10 / $772.92 / $958.42	Professional		$644.10	$772.92	$958.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.90 / $625.19 / $679.46	Professional		$443.90	$625.19	$679.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.43 / $545.52 / $939.12	Facility		$433.43	$545.52	$939.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $660.47 / $1,009.45	Professional		$496.00	$660.47	$1,009.45
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $2,478.00 / $4,739.00	Facility		$745.00	$2,478.00	$4,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.04 / $498.84 / $805.05	Professional		$364.04	$498.84	$805.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.78 / $496.00 / $688.53	Professional		$439.78	$496.00	$688.53