Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,682.00 / $12,826.00	Facility		$803.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $279.08 / $465.21	Professional		$243.41	$279.08	$465.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,271.75 / $3,783.10 / $14,275.00	Facility		$2,271.75	$3,783.10	$14,275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.84 / $316.16 / $432.15	Professional		$248.84	$316.16	$432.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $231.89 / $240.31	Facility		$80.00	$231.89	$240.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $310.14 / $310.14	Facility		$310.14	$310.14	$310.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.94 / $373.67 / $595.13	Professional		$277.94	$373.67	$595.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.34 / $11,500.00 / $26,542.00	Facility		$2,089.34	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,477.23 / $3,477.23 / $3,477.23	Professional		$3,477.23	$3,477.23	$3,477.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.69 / $364.60 / $615.71	Facility		$263.69	$364.60	$615.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.55 / $397.86 / $493.35	Professional		$331.55	$397.86	$493.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.88 / $316.43 / $395.70	Professional		$276.88	$316.43	$395.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.69 / $365.41 / $631.12	Facility		$263.69	$365.41	$631.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $388.08 / $581.94	Professional		$280.45	$388.08	$581.94
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $300.81 / $479.76	Professional		$224.78	$300.81	$479.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $258.72 / $355.90	Professional		$226.37	$258.72	$355.90