Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.38 / $2,124.00 / $6,762.00	Facility		$325.38	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $197.53 / $345.22	Professional		$76.34	$197.53	$345.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,992.55 / $3,633.48 / $7,524.82	Facility		$1,992.55	$3,633.48	$7,524.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $221.44 / $357.41	Professional		$73.95	$221.44	$357.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.42 / $74.42 / $293.89	Facility		$74.42	$74.42	$293.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $1,818.57 / $2,361.01	Facility		$1,322.00	$1,818.57	$2,361.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $235.56 / $417.98	Professional		$88.37	$235.56	$417.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $498.99 / $11,500.00 / $12,000.00	Facility		$498.99	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.23 / $1,920.48 / $2,273.10	Professional		$1,013.23	$1,920.48	$2,273.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $214.89 / $377.86	Facility		$78.65	$214.89	$377.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $286.43 / $468.70	Professional		$101.76	$286.43	$468.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $263.43 / $538.96	Professional		$82.86	$263.43	$538.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $217.62 / $408.27	Facility		$78.65	$217.62	$408.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $246.68 / $536.96	Professional		$93.06	$246.68	$536.96
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 $191.53 / $261.27 / $410.40	Professional		$191.53	$261.27	$410.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $259.69 / $352.90	Professional		$222.24	$259.69	$352.90