Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $2,131.00 / $7,513.00	Facility		$474.00	$2,131.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.76 / $337.76 / $450.24	Professional		$281.76	$337.76	$450.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.57 / $853.19 / $2,988.86	Facility		$477.57	$853.19	$2,988.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.75 / $343.35 / $488.96	Professional		$250.75	$343.35	$488.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $271.27 / $271.27 / $271.27	Facility		$271.27	$271.27	$271.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.63 / $943.63 / $943.63	Facility		$943.63	$943.63	$943.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $385.42 / $575.41	Professional		$298.89	$385.42	$575.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $618.00 / $3,728.65	Facility		$55.00	$618.00	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,207.67 / $2,284.08 / $2,583.90	Professional		$2,207.67	$2,284.08	$2,583.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $286.35 / $361.38 / $625.74	Facility		$286.35	$361.38	$625.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $387.28 / $455.80 / $536.24	Professional		$387.28	$455.80	$536.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $316.88 / $365.76	Professional		$276.32	$316.88	$365.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.35 / $370.94 / $682.87	Facility		$286.35	$370.94	$682.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.03 / $618.32	Professional		$302.00	$389.03	$618.32
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $324.68 / $504.77	Professional		$230.10	$324.68	$504.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.26 / $287.05 / $402.83	Professional		$254.26	$287.05	$402.83