Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.07 / $3,504.00 / $12,040.00	Facility		$605.07	$3,504.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.50 / $483.01 / $715.42	Professional		$348.50	$483.01	$715.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $767.95 / $1,323.43 / $2,880.88	Facility		$767.95	$1,323.43	$2,880.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.50 / $464.01 / $669.58	Professional		$368.50	$464.01	$669.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $342.68 / $1,411.37 / $1,411.37	Facility		$342.68	$1,411.37	$1,411.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.55 / $610.55 / $630.51	Facility		$610.55	$610.55	$630.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.85 / $520.17 / $791.73	Professional		$398.85	$520.17	$791.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,768.88 / $26,542.00 / $26,542.00	Facility		$2,768.88	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,940.80 / $3,338.70 / $3,760.20	Professional		$2,940.80	$3,338.70	$3,760.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.21 / $504.84 / $766.26	Facility		$396.21	$504.84	$766.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $570.62 / $746.20	Professional		$429.83	$570.62	$746.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $378.17 / $444.63 / $522.91	Professional		$378.17	$444.63	$522.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.21 / $509.60 / $807.79	Facility		$396.21	$509.60	$807.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.54 / $536.14 / $821.02	Professional		$403.54	$536.14	$821.02
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,509.00	Facility		$597.00	$2,054.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.75 / $462.31 / $685.29	Professional		$347.75	$462.31	$685.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.62 / $423.72 / $595.39	Professional		$374.62	$423.72	$595.39