Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $2,128.00 / $7,513.00	Facility		$416.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.86 / $348.97 / $558.04	Professional		$230.86	$348.97	$558.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.01 / $396.27 / $1,574.80	Facility		$229.01	$396.27	$1,574.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $342.52 / $519.51	Professional		$220.72	$342.52	$519.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $218.12 / $219.86	Facility		$80.00	$218.12	$219.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.47 / $416.47 / $416.47	Facility		$416.47	$416.47	$416.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $419.76 / $679.00	Professional		$265.16	$419.76	$679.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,709.40	Facility		$55.00	$55.00	$1,709.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,796.56 / $2,837.60 / $3,429.08	Professional		$1,796.56	$2,837.60	$3,429.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.28 / $388.57 / $598.17	Facility		$244.28	$388.57	$598.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.54 / $456.42 / $714.40	Professional		$314.54	$456.42	$714.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.28 / $388.90 / $622.20	Facility		$244.28	$388.90	$622.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.29 / $437.00 / $729.09	Professional		$271.29	$437.00	$729.09
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 $299.69 / $403.83 / $637.91	Professional		$299.69	$403.83	$637.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.73 / $381.07 / $538.11	Professional		$338.73	$381.07	$538.11