Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.97 / $3,120.00 / $10,639.00	Facility		$416.97	$3,120.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $376.19 / $552.95	Professional		$247.52	$376.19	$552.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,834.09 / $4,243.05 / $7,407.27	Facility		$1,834.09	$4,243.05	$7,407.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.19 / $372.83 / $547.41	Professional		$243.19	$372.83	$547.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $245.03 / $245.03	Facility		$80.00	$245.03	$245.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.74 / $448.74 / $448.74	Facility		$448.74	$448.74	$448.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.70 / $438.79 / $712.42	Professional		$284.70	$438.79	$712.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.52 / $11,500.00 / $26,542.00	Facility		$1,257.52	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,958.88 / $2,906.08 / $3,347.40	Professional		$1,958.88	$2,906.08	$3,347.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.33 / $408.24 / $634.52	Facility		$272.33	$408.24	$634.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $484.33 / $699.84	Professional		$338.51	$484.33	$699.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.29 / $439.54 / $954.57	Professional		$272.29	$439.54	$954.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.89 / $409.38 / $641.95	Facility		$272.89	$409.38	$641.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.92 / $459.08 / $777.23	Professional		$290.92	$459.08	$777.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $438.25 / $683.99	Professional		$322.64	$438.25	$683.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $374.06 / $527.29	Professional		$331.83	$374.06	$527.29