Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,500.00 / $7,495.00	Facility		$515.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.67 / $373.18 / $573.90	Professional		$244.67	$373.18	$573.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.94 / $2,155.07 / $4,472.79	Facility		$1,322.94	$2,155.07	$4,472.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.83 / $376.54 / $540.23	Professional		$247.83	$376.54	$540.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $254.13 / $254.13	Facility		$80.00	$254.13	$254.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $459.93 / $459.93	Facility		$459.93	$459.93	$459.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $437.02 / $719.96	Professional		$289.02	$437.02	$719.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,286.24 / $11,500.00 / $16,394.00	Facility		$1,286.24	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.04 / $2,962.96 / $3,432.53	Professional		$2,011.04	$2,962.96	$3,432.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $268.22 / $405.85 / $637.00	Facility		$268.22	$405.85	$637.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $499.37 / $715.57	Professional		$349.02	$499.37	$715.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.42 / $499.09 / $961.07	Professional		$301.42	$499.09	$961.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.31 / $407.45 / $641.62	Facility		$268.31	$407.45	$641.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.88 / $465.05 / $778.88	Professional		$293.88	$465.05	$778.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.49 / $423.72 / $667.53	Professional		$319.49	$423.72	$667.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $339.29 / $381.84 / $539.01	Professional		$339.29	$381.84	$539.01