Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.48 / $2,500.00 / $7,495.00	Facility		$381.48	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $263.87 / $420.13	Professional		$158.41	$263.87	$420.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.84 / $1,638.68 / $3,404.31	Facility		$913.84	$1,638.68	$3,404.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.21 / $271.94 / $421.52	Professional		$154.21	$271.94	$421.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $168.55 / $168.55 / $352.68	Facility		$168.55	$168.55	$352.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $2,213.00	Facility		$684.87	$908.58	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.94 / $501.50	Professional		$177.83	$295.94	$501.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.58 / $11,500.00 / $16,394.00	Facility		$1,154.58	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.78 / $2,266.40 / $2,718.23	Professional		$1,220.78	$2,266.40	$2,718.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.14 / $289.27 / $464.76	Facility		$164.14	$289.27	$464.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.29 / $340.52 / $557.21	Professional		$215.29	$340.52	$557.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $356.99 / $754.43	Professional		$199.56	$356.99	$754.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.55 / $292.97 / $508.41	Facility		$164.55	$292.97	$508.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $333.47 / $610.41	Professional		$183.28	$333.47	$610.41
United Facility/Professional Facility Modifier Low / Median / High Price $663.00 / $2,250.00 / $4,668.00	Facility		$663.00	$2,250.00	$4,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.85 / $302.43 / $486.01	Professional		$224.85	$302.43	$486.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $308.20 / $418.28	Professional		$264.20	$308.20	$418.28