Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $3,243.24 / $8,789.00	Facility		$924.00	$3,243.24	$8,789.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $947.10 / $981.75	Professional		$924.00	$947.10	$981.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.50 / $2,205.77 / $4,401.07	Facility		$871.50	$2,205.77	$4,401.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.20 / $970.20 / $970.20	Professional		$970.20	$970.20	$970.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $667.49 / $667.49 / $667.49	Facility		$667.49	$667.49	$667.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,097.25 / $4,014.44 / $4,331.25	Facility		$1,097.25	$4,014.44	$4,331.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,389.00 / $4,389.00 / $5,197.50	Professional		$4,389.00	$4,389.00	$5,197.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.10 / $1,050.00 / $2,061.10	Facility		$947.10	$1,050.00	$2,061.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.61 / $1,675.14 / $1,758.90	Professional		$1,120.61	$1,675.14	$1,758.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $1,050.00 / $1,569.07	Facility		$981.75	$1,050.00	$1,569.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $962.50	Professional		$962.50	$962.50	$962.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,299.38	Professional		$962.50	$962.50	$1,299.38