Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.33 / $3,504.00 / $12,040.00	Facility		$695.33	$3,504.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.79 / $635.01 / $957.08	Professional		$458.79	$635.01	$957.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,799.46 / $3,194.54 / $6,454.00	Facility		$1,799.46	$3,194.54	$6,454.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.31 / $575.95 / $904.26	Professional		$418.31	$575.95	$904.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $388.06 / $388.06 / $631.15	Facility		$388.06	$388.06	$631.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.02 / $651.38 / $985.79	Professional		$464.02	$651.38	$985.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,145.08 / $26,542.00 / $26,542.00	Facility		$3,145.08	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,338.16 / $4,459.52 / $5,128.72	Professional		$3,338.16	$4,459.52	$5,128.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.35 / $622.10 / $971.02	Facility		$428.35	$622.10	$971.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $488.53 / $710.59 / $1,013.46	Professional		$488.53	$710.59	$1,013.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $429.80 / $601.04 / $1,379.07	Professional		$429.80	$601.04	$1,379.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.78 / $625.96 / $1,004.94	Facility		$428.78	$625.96	$1,004.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.50 / $671.28 / $1,052.81	Professional		$476.50	$671.28	$1,052.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,217.00 / $7,600.00	Facility		$1,120.00	$3,217.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.59 / $630.12 / $916.23	Professional		$472.59	$630.12	$916.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $508.80 / $573.47 / $808.72	Professional		$508.80	$573.47	$808.72