Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.70 / $1,391.25 / $3,903.45	Facility		$524.70	$1,391.25	$3,903.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $604.20 / $954.00	Professional		$477.00	$604.20	$954.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $834.75 / $2,369.10 / $4,285.05	Facility		$834.75	$2,369.10	$4,285.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $371.66 / $543.05	Professional		$5.00	$371.66	$543.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $673.96 / $795.00 / $795.00	Facility		$673.96	$795.00	$795.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.33 / $1,028.78 / $3,542.08	Facility		$512.33	$1,028.78	$3,542.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $596.47 / $1,206.83	Professional		$403.00	$596.47	$1,206.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,776.25 / $3,776.25	Facility		$1,272.00	$3,776.25	$3,776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,975.00 / $3,975.00 / $5,962.50	Professional		$3,975.00	$3,975.00	$5,962.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.00 / $795.00 / $954.00	Facility		$477.00	$795.00	$954.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $795.00 / $795.00	Professional		$795.00	$795.00	$795.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $516.75 / $954.00 / $1,788.75	Professional		$516.75	$954.00	$1,788.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.00 / $795.00 / $1,105.05	Facility		$477.00	$795.00	$1,105.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.48 / $795.00 / $1,206.83	Professional		$405.48	$795.00	$1,206.83
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $333.90 / $546.55	Professional		$333.90	$333.90	$546.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $500.00 / $795.00	Professional		$310.05	$500.00	$795.00