Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.93 / $3,511.00 / $12,281.00	Facility		$689.93	$3,511.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.53 / $598.54 / $902.51	Professional		$440.53	$598.54	$902.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,615.53 / $4,940.75 / $10,182.92	Facility		$2,615.53	$4,940.75	$10,182.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $559.88 / $877.32	Professional		$419.55	$559.88	$877.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.55 / $441.44 / $573.28	Facility		$380.55	$441.44	$573.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.98 / $628.20 / $933.61	Professional		$451.98	$628.20	$933.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,130.14 / $26,542.00 / $26,542.00	Facility		$3,130.14	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,329.52 / $4,233.76 / $4,841.39	Professional		$3,329.52	$4,233.76	$4,841.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.06 / $600.23 / $900.00	Facility		$442.06	$600.23	$900.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $486.04 / $705.56 / $959.57	Professional		$486.04	$705.56	$959.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $409.68 / $561.95 / $672.00	Professional		$409.68	$561.95	$672.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.06 / $603.21 / $1,008.84	Facility		$442.06	$603.21	$1,008.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.03 / $645.15 / $1,004.90	Professional		$464.03	$645.15	$1,004.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.76 / $590.25 / $877.56	Professional		$445.76	$590.25	$877.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $481.74 / $544.41 / $765.60	Professional		$481.74	$544.41	$765.60