Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.90 / $2,550.00 / $7,495.00	Facility		$582.90	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.85 / $513.52 / $812.51	Professional		$340.85	$513.52	$812.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,702.98 / $2,960.86 / $6,115.23	Facility		$1,702.98	$2,960.86	$6,115.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.47 / $486.38 / $691.84	Professional		$321.47	$486.38	$691.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $292.89 / $292.89 / $532.21	Facility		$292.89	$292.89	$532.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.26 / $517.87 / $798.32	Professional		$355.26	$517.87	$798.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.44 / $16,394.00 / $16,394.00	Facility		$2,398.44	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,548.32 / $3,757.92 / $4,327.80	Professional		$2,548.32	$3,757.92	$4,327.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.43 / $498.52 / $776.25	Facility		$275.43	$498.52	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $372.54 / $575.74 / $854.52	Professional		$372.54	$575.74	$854.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $497.08 / $601.08	Professional		$315.64	$497.08	$601.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.61 / $505.18 / $833.55	Facility		$277.61	$505.18	$833.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.20 / $536.35 / $850.34	Professional		$363.20	$536.35	$850.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.90 / $519.91 / $762.09	Professional		$389.90	$519.91	$762.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $429.01 / $483.10 / $681.99	Professional		$429.01	$483.10	$681.99