Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.98 / $2,550.00 / $7,316.00	Facility		$396.98	$2,550.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $215.42 / $337.04	Professional		$116.57	$215.42	$337.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.46 / $2,263.53 / $4,391.97	Facility		$1,310.46	$2,263.53	$4,391.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $243.92 / $407.54	Professional		$110.13	$243.92	$407.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $101.82 / $101.82	Facility		$101.82	$101.82	$101.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.07 / $1,137.07 / $1,137.07	Facility		$1,137.07	$1,137.07	$1,137.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $264.22 / $419.81	Professional		$131.54	$264.22	$419.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $957.04 / $16,394.00 / $16,394.00	Facility		$957.04	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.00 / $1,917.60 / $2,252.78	Professional		$1,379.00	$1,917.60	$2,252.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.97 / $259.00 / $467.27	Facility		$124.97	$259.00	$467.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $285.01 / $466.38	Professional		$151.80	$285.01	$466.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $239.80 / $360.61	Professional		$141.83	$239.80	$360.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.97 / $262.79 / $515.23	Facility		$124.97	$262.79	$515.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $268.91 / $464.97	Professional		$132.88	$268.91	$464.97
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,193.00 / $4,509.00	Facility		$564.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.02 / $275.36 / $448.38	Professional		$202.02	$275.36	$448.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $248.11 / $350.97	Professional		$221.13	$248.11	$350.97