Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $2,128.00 / $7,513.00	Facility		$461.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $383.79 / $639.09	Professional		$334.08	$383.79	$639.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.01 / $360.12 / $782.24	Facility		$207.01	$360.12	$782.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.67 / $434.01 / $626.54	Professional		$344.67	$434.01	$626.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $355.21 / $356.13	Facility		$80.00	$355.21	$356.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.65 / $628.65 / $628.65	Facility		$628.65	$628.65	$628.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.91 / $479.30 / $739.33	Professional		$363.91	$479.30	$739.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,170.50 / $11,500.00 / $12,000.00	Facility		$2,170.50	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,726.16 / $3,034.96 / $3,556.73	Professional		$2,726.16	$3,034.96	$3,556.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $337.06 / $426.93 / $683.71	Facility		$337.06	$426.93	$683.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $473.46 / $569.24 / $725.78	Professional		$473.46	$569.24	$725.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $455.29 / $714.76 / $1,456.05	Professional		$455.29	$714.76	$1,456.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.25 / $427.79 / $715.88	Facility		$337.25	$427.79	$715.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $369.61 / $508.38 / $781.39	Professional		$369.61	$508.38	$781.39
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.56 / $404.56 / $652.55	Professional		$300.56	$404.56	$652.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.02 / $390.69 / $548.91	Professional		$347.02	$390.69	$548.91