Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.51 / $3,445.00 / $10,893.00	Facility		$520.51	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.14 / $404.59 / $758.97	Professional		$194.14	$404.59	$758.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.38 / $2,596.38 / $5,371.27	Facility		$1,525.38	$2,596.38	$5,371.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.99 / $459.16 / $747.63	Professional		$192.99	$459.16	$747.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $196.50 / $202.70	Facility		$80.00	$196.50	$202.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.80 / $355.80 / $355.80	Facility		$355.80	$355.80	$355.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.42 / $421.10 / $827.75	Professional		$226.42	$421.10	$827.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,049.94	Facility		$55.00	$55.00	$1,049.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,430.00 / $4,557.05 / $4,719.60	Professional		$4,430.00	$4,557.05	$4,719.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.93 / $435.52 / $788.54	Facility		$202.93	$435.52	$788.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.18 / $618.24 / $967.68	Professional		$266.18	$618.24	$967.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $287.50 / $287.50 / $287.50	Professional		$287.50	$287.50	$287.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.93 / $436.47 / $811.65	Facility		$202.93	$436.47	$811.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.20 / $440.90 / $923.61	Professional		$228.20	$440.90	$923.61
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.04 / $490.80 / $752.08	Professional		$352.04	$490.80	$752.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $458.83 / $513.49 / $726.75	Professional		$458.83	$513.49	$726.75