Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,759.00 / $7,542.00	Facility		$661.00	$2,759.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.43 / $462.97 / $780.49	Professional		$401.43	$462.97	$780.49
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $419.63 / $422.05	Facility		$80.00	$419.63	$422.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $517.42	Facility		$517.42	$517.42	$517.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.78 / $632.77 / $942.42	Professional		$461.78	$632.77	$942.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,548.50 / $11,500.00 / $16,394.00	Facility		$2,548.50	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,940.10 / $4,940.10 / $4,940.10	Professional		$4,940.10	$4,940.10	$4,940.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.66 / $556.70 / $961.00	Facility		$434.66	$556.70	$961.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.42 / $674.91 / $836.89	Professional		$562.42	$674.91	$836.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.90 / $512.87 / $550.42	Professional		$487.90	$512.87	$550.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.03 / $560.25 / $1,023.00	Facility		$436.03	$560.25	$1,023.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.78 / $651.04 / $973.95	Professional		$461.78	$651.04	$973.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.42 / $504.91 / $785.87	Professional		$378.42	$504.91	$785.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.01 / $436.03 / $609.16	Professional		$384.01	$436.03	$609.16