Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.04 / $2,783.00 / $7,542.00	Facility		$655.04	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.05 / $432.95 / $732.83	Professional		$365.05	$432.95	$732.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,581.32 / $2,776.00 / $5,381.57	Facility		$1,581.32	$2,776.00	$5,381.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $501.42 / $683.27	Professional		$396.14	$501.42	$683.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $422.58 / $433.43	Facility		$80.00	$422.58	$433.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.28 / $489.28 / $489.28	Facility		$489.28	$489.28	$489.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.90 / $591.04 / $876.36	Professional		$438.90	$591.04	$876.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,411.82 / $11,500.00 / $16,394.00	Facility		$2,411.82	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,060.24 / $3,134.72 / $3,715.28	Professional		$3,060.24	$3,134.72	$3,715.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $409.40 / $529.07 / $834.45	Facility		$409.40	$529.07	$834.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $526.84 / $632.21 / $783.93	Professional		$526.84	$632.21	$783.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $491.28 / $509.12 / $558.79	Professional		$491.28	$509.12	$558.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.40 / $532.22 / $894.21	Facility		$409.40	$532.22	$894.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $445.34 / $610.48 / $892.77	Professional		$445.34	$610.48	$892.77
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.77 / $469.99 / $749.92	Professional		$352.77	$469.99	$749.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.71 / $409.40 / $565.04	Professional		$359.71	$409.40	$565.04