Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.42 / $2,124.00 / $7,513.00	Facility		$369.42	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $281.16 / $405.06	Professional		$132.10	$281.16	$405.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,877.27 / $3,403.53 / $8,585.00	Facility		$1,877.27	$3,403.53	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $255.64 / $403.71	Professional		$121.28	$255.64	$403.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $115.67 / $233.74 / $233.74	Facility		$115.67	$233.74	$233.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $316.14 / $644.01	Professional		$151.86	$316.14	$644.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $614.17 / $26,542.00 / $26,542.00	Facility		$614.17	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.00 / $2,350.34 / $2,479.14	Professional		$1,952.00	$2,350.34	$2,479.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.53 / $300.26 / $653.24	Facility		$143.53	$300.26	$653.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.26 / $323.76 / $464.73	Professional		$165.26	$323.76	$464.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $264.35 / $503.48	Professional		$126.18	$264.35	$503.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.53 / $307.33 / $700.62	Facility		$143.53	$307.33	$700.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $338.09 / $648.04	Professional		$157.59	$338.09	$648.04
United Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $949.00 / $2,287.00	Facility		$155.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.36 / $365.64 / $568.97	Professional		$254.36	$365.64	$568.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.65 / $255.47 / $358.20	Professional		$226.65	$255.47	$358.20