Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $2,550.00 / $7,495.00	Facility		$572.96	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.97 / $492.80 / $727.74	Professional		$362.97	$492.80	$727.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,606.22 / $3,033.25 / $6,249.16	Facility		$1,606.22	$3,033.25	$6,249.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.06 / $471.03 / $682.00	Professional		$374.06	$471.03	$682.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $352.35 / $352.35 / $479.74	Facility		$352.35	$352.35	$479.74
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 $398.32 / $533.52 / $822.31	Professional		$398.32	$533.52	$822.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,808.72 / $16,394.00 / $16,394.00	Facility		$2,808.72	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,976.88 / $3,397.95 / $3,873.15	Professional		$2,976.88	$3,397.95	$3,873.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.31 / $523.30 / $814.61	Facility		$403.31	$523.30	$814.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.23 / $594.86 / $766.55	Professional		$436.23	$594.86	$766.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $445.15 / $571.40	Professional		$358.80	$445.15	$571.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.31 / $536.94 / $855.86	Facility		$403.31	$536.94	$855.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.27 / $548.47 / $849.59	Professional		$409.27	$548.47	$849.59
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 $360.11 / $472.41 / $684.99	Professional		$360.11	$472.41	$684.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $434.42 / $611.60	Professional		$384.84	$434.42	$611.60