Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,504.00 / $12,040.00	Facility		$657.00	$3,504.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.21 / $560.65 / $842.83	Professional		$413.21	$560.65	$842.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,666.44 / $3,057.62 / $6,214.00	Facility		$1,666.44	$3,057.62	$6,214.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.44 / $524.33 / $821.61	Professional		$399.44	$524.33	$821.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $369.80 / $369.80 / $561.23	Facility		$369.80	$369.80	$561.23
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 $441.64 / $604.60 / $904.49	Professional		$441.64	$604.60	$904.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,989.68 / $26,542.00 / $26,542.00	Facility		$2,989.68	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,604.00 / $4,659.41 / $4,659.41	Professional		$3,604.00	$4,659.41	$4,659.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.85 / $610.77 / $983.83	Facility		$438.85	$610.77	$983.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $464.70 / $658.25 / $895.22	Professional		$464.70	$658.25	$895.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $408.94 / $530.57 / $659.74	Professional		$408.94	$530.57	$659.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.85 / $623.54 / $1,038.50	Facility		$438.85	$623.54	$1,038.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $452.79 / $616.33 / $952.79	Professional		$452.79	$616.33	$952.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $4,061.00 / $8,759.00	Facility		$1,190.00	$4,061.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.65 / $556.86 / $812.58	Professional		$417.65	$556.86	$812.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.44 / $507.37 / $714.03	Professional		$449.44	$507.37	$714.03