Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.31 / $2,124.00 / $6,762.00	Facility		$393.31	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.89 / $321.49 / $460.03	Professional		$214.89	$321.49	$460.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,115.42 / $2,091.48 / $4,063.00	Facility		$1,115.42	$2,091.48	$4,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.39 / $315.18 / $672.27	Professional		$204.39	$315.18	$672.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $201.65 / $1,861.83 / $1,861.83	Facility		$201.65	$1,861.83	$1,861.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.30 / $943.63 / $1,652.00	Facility		$711.30	$943.63	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.34 / $383.48 / $632.38	Professional		$242.34	$383.48	$632.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,556.28 / $11,500.00 / $12,000.00	Facility		$1,556.28	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.16 / $2,405.76 / $2,770.65	Professional		$1,654.16	$2,405.76	$2,770.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.18 / $344.15 / $604.26	Facility		$227.18	$344.15	$604.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $409.13 / $579.33	Professional		$285.95	$409.13	$579.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $374.20 / $870.60	Professional		$5.00	$374.20	$870.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.21 / $348.86 / $653.30	Facility		$227.21	$348.86	$653.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $417.68 / $730.24	Professional		$259.39	$417.68	$730.24
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.02 / $382.29 / $585.47	Professional		$278.02	$382.29	$585.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $274.69 / $321.64 / $436.46	Professional		$274.69	$321.64	$436.46