Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.70 / $2,872.00 / $10,048.00	Facility		$451.70	$2,872.00	$10,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.80 / $389.92 / $569.52	Professional		$251.80	$389.92	$569.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $429.61 / $1,543.84	Facility		$242.82	$429.61	$1,543.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.85 / $402.91 / $635.54	Professional		$242.85	$402.91	$635.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $233.35 / $233.35 / $413.65	Facility		$233.35	$233.35	$413.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.65 / $417.89 / $2,530.00	Facility		$352.65	$417.89	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.08 / $439.45 / $713.02	Professional		$281.08	$439.45	$713.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,872.72 / $2,000.00	Facility		$55.00	$1,872.72	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.00 / $3,092.48 / $3,627.75	Professional		$1,978.00	$3,092.48	$3,627.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.75 / $407.40 / $676.05	Facility		$259.75	$407.40	$676.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $484.33 / $751.66	Professional		$338.51	$484.33	$751.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $376.70 / $1,164.50	Professional		$5.00	$376.70	$1,164.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.75 / $412.41 / $724.65	Facility		$259.75	$412.41	$724.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $479.46 / $869.99	Professional		$289.02	$479.46	$869.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.62 / $422.66 / $681.43	Professional		$312.62	$422.66	$681.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.40 / $416.64 / $565.46	Professional		$356.40	$416.64	$565.46