Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.94 / $2,512.00 / $7,542.00	Facility		$394.94	$2,512.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $282.14 / $475.31	Professional		$209.25	$282.14	$475.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.61 / $342.87 / $775.49	Facility		$187.61	$342.87	$775.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.39 / $303.64 / $475.80	Professional		$223.39	$303.64	$475.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $255.27 / $262.95	Facility		$80.00	$255.27	$262.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.29 / $414.29 / $414.29	Facility		$414.29	$414.29	$414.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $361.70 / $558.72	Professional		$260.39	$361.70	$558.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,169.55	Facility		$55.00	$55.00	$1,169.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.00 / $3,297.25 / $3,929.37	Professional		$2,602.00	$3,297.25	$3,929.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.39 / $338.28 / $578.62	Facility		$246.39	$338.28	$578.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.97 / $413.23 / $560.05	Professional		$306.97	$413.23	$560.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $381.90 / $381.90 / $381.90	Professional		$381.90	$381.90	$381.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.39 / $340.44 / $591.54	Facility		$246.39	$340.44	$591.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.69 / $381.51 / $611.46	Professional		$262.69	$381.51	$611.46
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 $239.08 / $321.06 / $506.41	Professional		$239.08	$321.06	$506.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $303.80 / $422.19	Professional		$267.77	$303.80	$422.19