Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $2,128.00 / $7,513.00	Facility		$381.36	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $245.46 / $393.28	Professional		$207.26	$245.46	$393.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.08 / $2,141.52 / $4,277.00	Facility		$1,152.08	$2,141.52	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.83 / $285.97 / $389.68	Professional		$226.83	$285.97	$389.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $238.19 / $238.19	Facility		$80.00	$238.19	$238.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.55 / $415.55 / $415.55	Facility		$415.55	$415.55	$415.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.71 / $305.85 / $473.65	Professional		$233.71	$305.85	$473.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,441.45 / $11,500.00 / $12,000.00	Facility		$1,441.45	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.88 / $1,849.04 / $2,171.78	Professional		$1,808.88	$1,849.04	$2,171.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.96 / $272.98 / $429.50	Facility		$213.96	$272.98	$429.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.10 / $372.15 / $458.45	Professional		$308.10	$372.15	$458.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.95 / $448.16 / $945.40	Professional		$291.95	$448.16	$945.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.36 / $274.10 / $447.37	Facility		$215.36	$274.10	$447.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.79 / $319.68 / $490.54	Professional		$238.79	$319.68	$490.54
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,100.00 / $4,554.00	Facility		$600.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $245.41 / $374.30	Professional		$183.60	$245.41	$374.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.75 / $238.35 / $334.89	Professional		$211.75	$238.35	$334.89