Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $2,485.00 / $7,078.00	Facility		$624.00	$2,485.00	$7,078.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $906.00 / $906.00 / $906.00	Facility	50	$906.00	$906.00	$906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.96 / $596.86 / $892.35	Professional		$439.96	$596.86	$892.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,057.62 / $6,214.00	Facility		$1,664.27	$3,057.62	$6,214.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.09 / $557.64 / $873.81	Professional		$421.09	$557.64	$873.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $388.31 / $388.31 / $597.02	Facility		$388.31	$388.31	$597.02
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 $459.12 / $637.54 / $915.71	Professional		$459.12	$637.54	$915.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,150.72 / $16,394.00 / $16,394.00	Facility		$3,150.72	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,805.00 / $4,805.00 / $4,822.88	Professional		$4,805.00	$4,805.00	$4,822.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $461.17 / $643.10 / $998.88	Facility		$461.17	$643.10	$998.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $701.51 / $954.06	Professional		$489.60	$701.51	$954.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $431.08 / $565.04 / $701.89	Professional		$431.08	$565.04	$701.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.17 / $645.14 / $1,039.19	Facility		$461.17	$645.14	$1,039.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $469.04 / $648.98 / $951.56	Professional		$469.04	$648.98	$951.56
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 $444.71 / $592.95 / $884.97	Professional		$444.71	$592.95	$884.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.98 / $540.82 / $761.04	Professional		$478.98	$540.82	$761.04