Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.49 / $2,124.00 / $7,513.00	Facility		$290.49	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $158.88 / $275.30	Professional		$47.52	$158.88	$275.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $155.00 / $275.62	Professional		$46.72	$155.00	$275.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $43.12 / $80.00	Facility		$43.12	$43.12	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $87.73 / $87.73	Facility		$87.73	$87.73	$87.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $166.13 / $333.99	Professional		$55.82	$166.13	$333.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $668.91	Facility		$55.00	$55.00	$668.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $768.60 / $1,728.30 / $2,338.78	Professional		$768.60	$1,728.30	$2,338.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $172.25 / $344.07	Facility		$51.88	$172.25	$344.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $92.65 / $353.93	Professional		$64.75	$92.65	$353.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $237.80 / $462.01	Professional		$55.04	$237.80	$462.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $172.25 / $359.35	Facility		$52.00	$172.25	$359.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $166.13 / $357.49	Professional		$57.41	$166.13	$357.49
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 $141.09 / $194.11 / $314.32	Professional		$141.09	$194.11	$314.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.23 / $189.03 / $268.88	Professional		$169.23	$189.03	$268.88