Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.10 / $2,080.00 / $6,944.73	Facility		$404.10	$2,080.00	$6,944.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $352.39 / $505.33	Professional		$81.76	$352.39	$505.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.61 / $1,015.12 / $2,250.92	Facility		$607.61	$1,015.12	$2,250.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $338.10 / $581.27	Professional		$73.88	$338.10	$581.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $72.77 / $72.77	Facility		$72.77	$72.77	$72.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.01 / $477.01 / $477.01	Facility		$477.01	$477.01	$477.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $199.38 / $673.73	Professional		$97.20	$199.38	$673.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $454.90	Facility		$55.00	$55.00	$454.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.32 / $2,622.00 / $3,076.13	Professional		$1,305.32	$2,622.00	$3,076.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.51 / $301.27 / $613.50	Facility		$81.51	$301.27	$613.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $460.03 / $619.27	Professional		$100.92	$460.03	$619.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.40 / $564.40 / $564.40	Professional		$564.40	$564.40	$564.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.51 / $337.57 / $662.38	Facility		$81.51	$337.57	$662.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $255.11 / $695.30	Professional		$98.56	$255.11	$695.30
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $5,925.00	Facility		$369.00	$1,529.00	$5,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.01 / $452.20 / $724.32	Professional		$334.01	$452.20	$724.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $337.57 / $480.14	Professional		$302.02	$337.57	$480.14