Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $2,500.00 / $7,495.00	Facility		$443.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $351.45 / $583.19	Professional		$295.02	$351.45	$583.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.08 / $2,141.52 / $4,350.80	Facility		$1,152.08	$2,141.52	$4,350.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.33 / $390.77 / $565.79	Professional		$310.33	$390.77	$565.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $318.56 / $319.77	Facility		$80.00	$318.56	$319.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.13 / $566.13 / $566.13	Facility		$566.13	$566.13	$566.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.76 / $439.94 / $672.25	Professional		$331.76	$439.94	$672.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,587.16 / $11,500.00 / $16,394.00	Facility		$1,587.16	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,452.23 / $2,814.64 / $3,288.60	Professional		$2,452.23	$2,814.64	$3,288.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.52 / $395.06 / $610.74	Facility		$319.52	$395.06	$610.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $432.62 / $526.66 / $677.14	Professional		$432.62	$526.66	$677.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $387.42 / $649.71 / $1,297.81	Professional		$387.42	$649.71	$1,297.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.81 / $397.14 / $633.91	Facility		$319.81	$397.14	$633.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.71 / $466.82 / $713.01	Professional		$338.71	$466.82	$713.01
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,100.00 / $4,554.00	Facility		$600.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.23 / $360.95 / $581.99	Professional		$266.23	$360.95	$581.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.07 / $361.54 / $507.94	Professional		$321.07	$361.54	$507.94