Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.17 / $2,124.00 / $6,762.00	Facility		$339.17	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $284.35 / $399.19	Professional		$192.72	$284.35	$399.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,484.09 / $3,501.52 / $6,364.26	Facility		$1,484.09	$3,501.52	$6,364.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $314.26 / $484.36	Professional		$194.30	$314.26	$484.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $209.10 / $1,610.38 / $1,610.38	Facility		$209.10	$1,610.38	$1,610.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.56 / $337.37 / $545.91	Professional		$223.56	$337.37	$545.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.12 / $12,000.00 / $12,000.00	Facility		$1,449.12	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.52 / $2,396.64 / $2,878.95	Professional		$1,511.52	$2,396.64	$2,878.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.28 / $310.79 / $565.78	Facility		$194.28	$310.79	$565.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $386.25 / $589.80	Professional		$269.95	$386.25	$589.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $277.10 / $277.10 / $277.10	Professional		$277.10	$277.10	$277.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.40 / $313.51 / $611.55	Facility		$194.40	$313.51	$611.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $353.64 / $611.63	Professional		$226.28	$353.64	$611.63
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 $241.24 / $339.24 / $542.78	Professional		$241.24	$339.24	$542.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $279.66 / $313.63 / $442.46	Professional		$279.66	$313.63	$442.46