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 $331.87 / $389.62 / $597.26	Professional		$331.87	$389.62	$597.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.04 / $2,118.84 / $12,453.58	Facility		$1,081.04	$2,118.84	$12,453.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.52 / $842.52 / $842.52	Professional		$842.52	$842.52	$842.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $439.50 / $439.50	Facility		$439.50	$439.50	$439.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.92 / $503.94 / $794.86	Professional		$360.92	$503.94	$794.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,633.00	Facility		$55.00	$55.00	$3,633.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,347.25 / $4,017.65 / $4,150.24	Professional		$3,347.25	$4,017.65	$4,150.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.58 / $439.87 / $686.67	Facility		$301.58	$439.87	$686.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.21 / $370.21 / $370.21	Professional		$370.21	$370.21	$370.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $311.89	Professional		$311.89	$311.89	$311.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.58 / $445.23 / $753.42	Facility		$301.58	$445.23	$753.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.21 / $519.52 / $794.86	Professional		$370.21	$519.52	$794.86
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $28,409.00	Facility		$161.00	$950.00	$28,409.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.52 / $422.56 / $643.90	Professional		$308.52	$422.56	$643.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $469.55 / $633.89	Professional		$469.55	$469.55	$633.89