Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,768.00 / $7,542.00	Facility		$652.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.79 / $359.27 / $599.69	Professional		$314.79	$359.27	$599.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,960.00 / $4,278.00 / $7,829.11	Facility		$1,960.00	$4,278.00	$7,829.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.57 / $413.65 / $565.41	Professional		$325.57	$413.65	$565.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $336.39 / $338.75	Facility		$80.00	$336.39	$338.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.47 / $405.47 / $405.47	Facility		$405.47	$405.47	$405.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.68 / $466.86 / $709.91	Professional		$350.68	$466.86	$709.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,336.24 / $11,500.00 / $16,394.00	Facility		$1,336.24	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,760.64 / $2,790.22 / $3,082.28	Professional		$2,760.64	$2,790.22	$3,082.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.36 / $453.73 / $694.86	Facility		$340.36	$453.73	$694.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $440.73 / $528.87 / $655.80	Professional		$440.73	$528.87	$655.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $390.51 / $493.94 / $798.77	Professional		$390.51	$493.94	$798.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.16 / $453.99 / $714.45	Facility		$342.16	$453.99	$714.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $478.98 / $731.40	Professional		$357.47	$478.98	$731.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.68 / $360.90 / $579.97	Professional		$270.68	$360.90	$579.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.92 / $340.05 / $475.36	Professional		$300.92	$340.05	$475.36