Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.78 / $3,445.00 / $10,893.00	Facility		$392.78	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.73 / $400.41 / $675.32	Professional		$326.73	$400.41	$675.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $168.89 / $666.84	Facility		$95.88	$168.89	$666.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.43 / $456.22 / $645.95	Professional		$360.43	$456.22	$645.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $371.91 / $373.41	Facility		$80.00	$371.91	$373.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.39 / $490.08 / $747.20	Professional		$367.39	$490.08	$747.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,049.10	Facility		$55.00	$55.00	$2,049.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,863.36 / $3,199.68 / $3,738.23	Professional		$2,863.36	$3,199.68	$3,738.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.50 / $441.57 / $696.45	Facility		$346.50	$441.57	$696.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $496.97 / $598.66 / $763.30	Professional		$496.97	$598.66	$763.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $452.26 / $656.93 / $968.26	Professional		$452.26	$656.93	$968.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.50 / $443.80 / $720.45	Facility		$346.50	$443.80	$720.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $507.62 / $798.85	Professional		$375.45	$507.62	$798.85
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 $296.19 / $389.05 / $614.14	Professional		$296.19	$389.05	$614.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.96 / $411.15 / $577.29	Professional		$364.96	$411.15	$577.29