Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,747.00 / $7,542.00	Facility		$669.00	$2,747.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.86 / $589.53 / $999.61	Professional		$496.86	$589.53	$999.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.00 / $3,017.00 / $4,621.18	Facility		$1,310.00	$3,017.00	$4,621.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.88 / $683.36 / $931.20	Professional		$539.88	$683.36	$931.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $499.24 / $517.04	Facility		$80.00	$499.24	$517.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $669.01 / $669.01	Facility		$669.01	$669.01	$669.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.46 / $829.03 / $1,237.93	Professional		$605.46	$829.03	$1,237.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,465.22 / $11,500.00 / $16,394.00	Facility		$1,465.22	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,191.43 / $4,282.72 / $5,006.47	Professional		$4,191.43	$4,282.72	$5,006.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.49 / $739.74 / $1,208.00	Facility		$549.49	$739.74	$1,208.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $715.66 / $858.80 / $1,064.91	Professional		$715.66	$858.80	$1,064.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $594.19 / $682.99 / $1,003.16	Professional		$594.19	$682.99	$1,003.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $551.99 / $739.91 / $1,276.80	Facility		$551.99	$739.91	$1,276.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.46 / $854.89 / $1,254.19	Professional		$605.46	$854.89	$1,254.19
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $636.40 / $1,050.71	Professional		$477.63	$636.40	$1,050.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.64 / $558.44 / $768.19	Professional		$488.64	$558.44	$768.19