Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $2,131.00 / $7,513.00	Facility		$382.00	$2,131.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.29 / $264.70 / $431.66	Professional		$155.29	$264.70	$431.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $3,547.90 / $6,376.95	Facility		$1,523.27	$3,547.90	$6,376.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $275.20 / $424.97	Professional		$156.87	$275.20	$424.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $162.18 / $163.24	Facility		$80.00	$162.18	$163.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $285.79	Facility		$285.79	$285.79	$285.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.27 / $308.26 / $510.22	Professional		$181.27	$308.26	$510.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.59 / $11,500.00 / $12,000.00	Facility		$1,176.59	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.96 / $2,220.64 / $2,638.50	Professional		$1,232.96	$2,220.64	$2,638.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $272.25 / $450.20	Facility		$148.97	$272.25	$450.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $347.06 / $543.22	Professional		$218.24	$347.06	$543.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $277.68 / $298.02 / $550.41	Professional		$277.68	$298.02	$550.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.61 / $273.16 / $459.70	Facility		$149.61	$273.16	$459.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $323.83 / $556.08	Professional		$185.22	$323.83	$556.08
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 $226.69 / $302.26 / $481.64	Professional		$226.69	$302.26	$481.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.57 / $288.47 / $408.39	Professional		$257.57	$288.47	$408.39