Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,244.00 / $7,513.00	Facility		$521.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.17 / $457.13 / $737.64	Professional		$382.17	$457.13	$737.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.41 / $346.75 / $790.83	Facility		$193.41	$346.75	$790.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $534.53 / $728.39	Professional		$422.30	$534.53	$728.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $431.97 / $434.48	Facility		$80.00	$431.97	$434.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $523.76	Facility		$523.76	$523.76	$523.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.23 / $546.72 / $845.17	Professional		$423.23	$546.72	$845.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,725.52 / $11,500.00 / $12,000.00	Facility		$1,725.52	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,343.36 / $3,402.64 / $3,983.25	Professional		$3,343.36	$3,402.64	$3,983.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.89 / $502.71 / $770.42	Facility		$410.89	$502.71	$770.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $683.16 / $847.12	Professional		$569.29	$683.16	$847.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $511.04 / $793.49 / $1,732.81	Professional		$511.04	$793.49	$1,732.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $411.95 / $504.71 / $813.02	Facility		$411.95	$504.71	$813.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.23 / $568.24 / $877.77	Professional		$429.23	$568.24	$877.77
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 $323.77 / $440.51 / $695.06	Professional		$323.77	$440.51	$695.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $438.88 / $614.16	Professional		$388.70	$438.88	$614.16