Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $3,174.00 / $10,639.00	Facility		$651.00	$3,174.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.29 / $581.48 / $891.24	Professional		$428.29	$581.48	$891.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,057.62 / $6,192.64	Facility		$1,664.27	$3,057.62	$6,192.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.52 / $546.94 / $851.72	Professional		$428.52	$546.94	$851.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $396.38 / $396.38 / $582.19	Facility		$396.38	$396.38	$582.19
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 $464.78 / $631.94 / $891.84	Professional		$464.78	$631.94	$891.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,218.40 / $26,542.00 / $26,542.00	Facility		$3,218.40	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,417.12 / $4,495.07 / $4,717.88	Professional		$3,417.12	$4,495.07	$4,717.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $469.70 / $630.04 / $988.71	Facility		$469.70	$630.04	$988.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.92 / $695.34 / $934.27	Professional		$499.92	$695.34	$934.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $559.91 / $687.44	Professional		$440.00	$559.91	$687.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.70 / $633.62 / $1,019.65	Facility		$469.70	$633.62	$1,019.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.17 / $644.82 / $962.04	Professional		$472.17	$644.82	$962.04
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 $435.78 / $581.04 / $912.00	Professional		$435.78	$581.04	$912.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $469.04 / $529.87 / $745.32	Professional		$469.04	$529.87	$745.32