Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.92 / $3,174.00 / $10,836.00	Facility		$489.92	$3,174.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $297.95 / $480.00	Professional		$169.41	$297.95	$480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $9,032.74 / $17,886.03	Facility		$4,349.00	$9,032.74	$17,886.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $298.98 / $434.58	Professional		$166.77	$298.98	$434.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $170.58 / $170.58	Facility		$80.00	$170.58	$170.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $310.52 / $310.52	Facility		$310.52	$310.52	$310.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.15 / $338.64 / $591.60	Professional		$199.15	$338.64	$591.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $867.92 / $11,500.00 / $26,542.00	Facility		$867.92	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,359.44 / $2,753.93 / $3,258.72	Professional		$1,359.44	$2,753.93	$3,258.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.71 / $335.22 / $566.80	Facility		$184.71	$335.22	$566.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.64 / $367.15 / $574.66	Professional		$234.64	$367.15	$574.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.89 / $369.79 / $691.97	Professional		$212.89	$369.79	$691.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.29 / $336.43 / $576.15	Facility		$185.29	$336.43	$576.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.02 / $352.64 / $626.55	Professional		$202.02	$352.64	$626.55
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 $280.68 / $368.71 / $595.98	Professional		$280.68	$368.71	$595.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.48 / $306.20 / $433.27	Professional		$272.48	$306.20	$433.27