Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $2,128.00 / $7,513.00	Facility		$382.81	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $295.16 / $419.30	Professional		$133.74	$295.16	$419.30
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 $122.52 / $269.76 / $450.71	Professional		$122.52	$269.76	$450.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $1,129.35 / $1,129.35	Facility		$117.31	$1,129.35	$1,129.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $331.89 / $658.22	Professional		$154.50	$331.89	$658.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $628.28 / $26,542.00 / $26,542.00	Facility		$628.28	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.00 / $2,421.96 / $2,516.78	Professional		$1,969.00	$2,421.96	$2,516.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.32 / $324.87 / $689.91	Facility		$145.32	$324.87	$689.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.78 / $374.24 / $503.79	Professional		$167.78	$374.24	$503.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $286.75 / $554.26	Professional		$128.09	$286.75	$554.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.32 / $326.45 / $722.02	Facility		$145.32	$326.45	$722.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $357.60 / $659.00	Professional		$159.58	$357.60	$659.00
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 $267.93 / $380.48 / $610.54	Professional		$267.93	$380.48	$610.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $276.57 / $388.76	Professional		$245.70	$276.57	$388.76