Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,236.00 / $7,513.00	Facility		$515.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.58 / $335.49 / $566.95	Professional		$280.58	$335.49	$566.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.15 / $1,929.39 / $5,114.17	Facility		$1,016.15	$1,929.39	$5,114.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.17 / $370.94 / $515.80	Professional		$304.17	$370.94	$515.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $277.20 / $279.56	Facility		$80.00	$277.20	$279.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $380.47 / $380.47	Facility		$380.47	$380.47	$380.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.97 / $438.23 / $666.65	Professional		$321.97	$438.23	$666.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,957.00	Facility		$55.00	$55.00	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.32 / $3,033.32 / $3,033.32	Professional		$3,033.32	$3,033.32	$3,033.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.47 / $393.37 / $662.01	Facility		$318.47	$393.37	$662.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.41 / $494.90 / $613.66	Professional		$412.41	$494.90	$613.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.20 / $367.50 / $644.58	Professional		$282.20	$367.50	$644.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $402.21 / $681.42	Facility		$319.20	$402.21	$681.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.67 / $452.15 / $685.99	Professional		$335.67	$452.15	$685.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $354.21 / $551.86	Professional		$263.86	$354.21	$551.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $322.29 / $446.80	Professional		$281.58	$322.29	$446.80