Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.35 / $2,124.00 / $6,762.00	Facility		$272.35	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $200.94 / $286.30	Professional		$100.16	$200.94	$286.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.88 / $1,656.96 / $3,404.31	Facility		$923.88	$1,656.96	$3,404.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $206.98 / $345.81	Professional		$98.00	$206.98	$345.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.74 / $97.74 / $242.05	Facility		$97.74	$97.74	$242.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $1,652.00	Facility		$684.87	$908.58	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $212.13 / $380.00	Professional		$117.29	$212.13	$380.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $599.40 / $11,500.00 / $12,000.00	Facility		$599.40	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $902.00 / $1,597.44 / $1,922.85	Professional		$902.00	$1,597.44	$1,922.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.05 / $211.03 / $340.98	Facility		$103.05	$211.03	$340.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $240.53 / $393.59	Professional		$134.97	$240.53	$393.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $239.11 / $504.70	Professional		$107.76	$239.11	$504.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.05 / $215.44 / $373.63	Facility		$103.05	$215.44	$373.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $238.39 / $473.97	Professional		$121.19	$238.39	$473.97
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 $171.21 / $230.77 / $364.32	Professional		$171.21	$230.77	$364.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.62 / $217.57 / $295.06	Professional		$186.62	$217.57	$295.06