Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $2,131.00 / $7,513.00	Facility		$382.00	$2,131.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $233.94 / $402.43	Professional		$148.96	$233.94	$402.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.41 / $988.22 / $2,153.34	Facility		$573.41	$988.22	$2,153.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $274.91 / $434.32	Professional		$155.63	$274.91	$434.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $161.19 / $162.26	Facility		$80.00	$161.19	$162.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $284.08	Facility		$284.08	$284.08	$284.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $298.72 / $481.84	Professional		$179.39	$298.72	$481.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $794.60 / $11,500.00 / $12,000.00	Facility		$794.60	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.35 / $2,148.71 / $2,554.13	Professional		$1,225.35	$2,148.71	$2,554.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.62 / $258.45 / $425.73	Facility		$148.62	$258.45	$425.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.98 / $310.45 / $525.76	Professional		$216.98	$310.45	$525.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $297.20 / $297.20	Professional		$297.20	$297.20	$297.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.77 / $258.82 / $430.49	Facility		$148.77	$258.82	$430.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $313.70 / $537.77	Professional		$183.77	$313.70	$537.77
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.58 / $284.22 / $466.06	Professional		$205.58	$284.22	$466.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.29 / $279.27 / $395.20	Professional		$249.29	$279.27	$395.20