Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $3,596.00 / $12,281.00	Facility		$649.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.35 / $520.39 / $831.42	Professional		$438.35	$520.39	$831.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,581.32 / $2,819.73 / $5,691.05	Facility		$1,581.32	$2,819.73	$5,691.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.09 / $603.88 / $822.90	Professional		$477.09	$603.88	$822.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $490.91 / $504.42	Facility		$80.00	$490.91	$504.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.41 / $586.41 / $586.41	Facility		$586.41	$586.41	$586.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.52 / $707.11 / $1,037.22	Professional		$525.52	$707.11	$1,037.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,246.20	Facility		$55.00	$55.00	$5,246.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,686.08 / $3,762.64 / $4,489.72	Professional		$3,686.08	$3,762.64	$4,489.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.89 / $616.62 / $995.11	Facility		$490.89	$616.62	$995.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $635.61 / $762.74 / $945.79	Professional		$635.61	$762.74	$945.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $582.74 / $603.49 / $635.66	Professional		$582.74	$603.49	$635.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.29 / $618.98 / $1,044.44	Facility		$493.29	$618.98	$1,044.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $530.88 / $731.83 / $1,071.17	Professional		$530.88	$731.83	$1,071.17
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 $413.25 / $542.39 / $868.32	Professional		$413.25	$542.39	$868.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $433.98 / $493.29 / $681.68	Professional		$433.98	$493.29	$681.68