Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.56 / $2,768.00 / $7,542.00	Facility		$660.56	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.61 / $478.84 / $763.77	Professional		$370.61	$478.84	$763.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,653.78 / $3,038.26 / $6,249.16	Facility		$1,653.78	$3,038.26	$6,249.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.10 / $491.67 / $673.40	Professional		$397.10	$491.67	$673.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $370.73 / $370.73 / $386.99	Facility		$370.73	$370.73	$386.99
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 $417.36 / $548.57 / $836.30	Professional		$417.36	$548.57	$836.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $16,394.00 / $16,394.00	Facility		$5,819.45	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,005.00 / $4,005.00 / $4,005.00	Professional		$4,005.00	$4,005.00	$4,005.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.56 / $534.11 / $916.36	Facility		$420.56	$534.11	$916.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.85 / $554.23 / $767.39	Professional		$412.85	$554.23	$767.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $369.14 / $416.19 / $479.00	Professional		$369.14	$416.19	$479.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.22 / $536.71 / $954.60	Facility		$420.22	$536.71	$954.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.68 / $564.40 / $855.72	Professional		$413.68	$564.40	$855.72
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 $337.76 / $448.59 / $666.50	Professional		$337.76	$448.59	$666.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.86 / $412.85 / $577.89	Professional		$363.86	$412.85	$577.89