Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.28 / $2,124.00 / $6,762.00	Facility		$437.28	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.41 / $396.41 / $558.33	Professional		$275.41	$396.41	$558.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.34 / $675.83 / $1,537.19	Facility		$373.34	$675.83	$1,537.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.63 / $393.56 / $675.30	Professional		$261.63	$393.56	$675.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $257.43 / $257.43 / $418.62	Facility		$257.43	$257.43	$418.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.74 / $391.93 / $1,652.00	Facility		$330.74	$391.93	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.87 / $458.14 / $745.67	Professional		$304.87	$458.14	$745.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,992.72 / $11,500.00 / $12,000.00	Facility		$1,992.72	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,108.00 / $3,071.92 / $3,573.68	Professional		$2,108.00	$3,071.92	$3,573.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.98 / $422.21 / $705.37	Facility		$287.98	$422.21	$705.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $516.33 / $737.31	Professional		$367.09	$516.33	$737.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $420.00 / $1,123.80	Professional		$5.00	$420.00	$1,123.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.67 / $424.67 / $785.27	Facility		$288.67	$424.67	$785.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $501.42 / $896.78	Professional		$320.00	$501.42	$896.78
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.13 / $442.93 / $696.87	Professional		$322.13	$442.93	$696.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $352.53 / $412.43 / $559.70	Professional		$352.53	$412.43	$559.70