Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,181.00 / $7,513.00	Facility		$524.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.43 / $458.99 / $721.08	Professional		$390.43	$458.99	$721.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.08 / $2,155.07 / $4,337.25	Facility		$1,152.08	$2,155.07	$4,337.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.59 / $530.54 / $725.21	Professional		$417.59	$530.54	$725.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $428.69 / $431.70	Facility		$80.00	$428.69	$431.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $521.15 / $521.15	Facility		$521.15	$521.15	$521.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.06 / $579.85 / $874.05	Professional		$429.06	$579.85	$874.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,754.80	Facility		$55.00	$55.00	$4,754.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,328.72 / $3,389.04 / $3,960.68	Professional		$3,328.72	$3,389.04	$3,960.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $418.67 / $518.66 / $824.78	Facility		$418.67	$518.66	$824.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $566.46 / $679.76 / $842.90	Professional		$566.46	$679.76	$842.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $508.12 / $792.12 / $1,724.00	Professional		$508.12	$792.12	$1,724.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $418.67 / $522.76 / $893.13	Facility		$418.67	$522.76	$893.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.40 / $601.83 / $911.96	Professional		$443.40	$601.83	$911.96
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 $345.38 / $460.50 / $718.59	Professional		$345.38	$460.50	$718.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $437.02 / $611.05	Professional		$386.77	$437.02	$611.05