Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,783.00 / $7,542.00	Facility		$652.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.99 / $264.77 / $458.05	Professional		$231.99	$264.77	$458.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.77 / $2,155.07 / $4,503.00	Facility		$1,263.77	$2,155.07	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.85 / $302.33 / $411.98	Professional		$238.85	$302.33	$411.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $236.39 / $1,590.25 / $1,590.25	Facility		$236.39	$1,590.25	$1,590.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.49 / $293.49 / $293.49	Facility		$293.49	$293.49	$293.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $343.64 / $522.88	Professional		$252.79	$343.64	$522.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $965.76 / $11,500.00 / $16,394.00	Facility		$965.76	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,220.00 / $2,332.01 / $2,408.96	Professional		$2,220.00	$2,332.01	$2,408.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.67 / $314.64 / $498.88	Facility		$247.67	$314.64	$498.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $382.82 / $474.69	Professional		$319.01	$382.82	$474.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.52 / $491.61 / $973.55	Professional		$420.52	$491.61	$973.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.61 / $318.77 / $523.12	Facility		$250.61	$318.77	$523.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.58 / $356.37 / $544.55	Professional		$263.58	$356.37	$544.55
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $278.51 / $433.09	Professional		$203.01	$278.51	$433.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $246.18 / $344.61	Professional		$217.81	$246.18	$344.61