Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.25 / $2,128.00 / $7,316.00	Facility		$261.25	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $165.19 / $253.08	Professional		$124.15	$165.19	$253.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,217.06 / $2,155.07 / $4,337.25	Facility		$1,217.06	$2,155.07	$4,337.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.38 / $169.44 / $249.00	Professional		$124.38	$169.44	$249.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $120.48 / $121.00	Facility		$80.00	$120.48	$121.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $223.58 / $223.58	Facility		$223.58	$223.58	$223.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $203.82 / $319.11	Professional		$143.25	$203.82	$319.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $622.12 / $11,500.00 / $12,000.00	Facility		$622.12	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $970.16 / $1,263.59 / $1,456.35	Professional		$970.16	$1,263.59	$1,456.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.75 / $182.72 / $291.86	Facility		$135.75	$182.72	$291.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $226.43 / $304.51	Professional		$164.97	$226.43	$304.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $254.60 / $496.60	Professional		$150.82	$254.60	$496.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.77 / $185.91 / $298.74	Facility		$135.77	$185.91	$298.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $217.94 / $342.09	Professional		$145.01	$217.94	$342.09
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,063.00 / $4,509.00	Facility		$600.00	$2,063.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $188.07 / $287.44	Professional		$137.90	$188.07	$287.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $163.28 / $229.14	Professional		$144.38	$163.28	$229.14