Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.10 / $2,396.00 / $7,078.00	Facility		$502.10	$2,396.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.11 / $362.64 / $633.26	Professional		$308.11	$362.64	$633.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.45 / $2,141.52 / $4,350.80	Facility		$1,096.45	$2,141.52	$4,350.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $402.46 / $582.72	Professional		$317.95	$402.46	$582.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $330.25 / $330.25 / $330.35	Facility		$330.25	$330.25	$330.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.51 / $581.51 / $581.51	Facility		$581.51	$581.51	$581.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.29 / $459.78 / $708.48	Professional		$349.29	$459.78	$708.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,624.36 / $11,500.00 / $16,394.00	Facility		$1,624.36	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.67 / $2,852.48 / $3,319.13	Professional		$2,511.67	$2,852.48	$3,319.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.67 / $432.23 / $680.24	Facility		$329.67	$432.23	$680.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $437.45 / $532.54 / $679.00	Professional		$437.45	$532.54	$679.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $401.03 / $576.29 / $874.60	Professional		$401.03	$576.29	$874.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.67 / $434.91 / $689.68	Facility		$329.67	$434.91	$689.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.68 / $489.61 / $754.71	Professional		$353.68	$489.61	$754.71
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,693.00	Facility		$161.00	$1,058.00	$2,693.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.35 / $399.42 / $622.08	Professional		$289.35	$399.42	$622.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $366.30 / $513.51	Professional		$324.64	$366.30	$513.51