Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.90 / $2,512.00 / $7,495.00	Facility		$472.90	$2,512.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $338.77 / $487.08	Professional		$158.68	$338.77	$487.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.04 / $884.88 / $1,986.81	Facility		$509.04	$884.88	$1,986.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $199.67 / $381.85	Professional		$147.65	$199.67	$381.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.93 / $144.93 / $144.93	Facility		$144.93	$144.93	$144.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.50 / $453.50 / $453.50	Facility		$453.50	$453.50	$453.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $391.04 / $681.04	Professional		$181.73	$391.04	$681.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $806.31 / $16,394.00 / $16,394.00	Facility		$806.31	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.85 / $2,833.94 / $3,031.80	Professional		$1,367.85	$2,833.94	$3,031.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.85 / $374.96 / $740.98	Facility		$172.85	$374.96	$740.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $384.99 / $629.98	Professional		$207.73	$384.99	$629.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.60 / $412.60 / $412.60	Professional		$412.60	$412.60	$412.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.85 / $379.50 / $768.25	Facility		$172.85	$379.50	$768.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $402.13 / $705.62	Professional		$186.30	$402.13	$705.62
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $435.68 / $698.71	Professional		$306.68	$435.68	$698.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $335.98 / $474.16	Professional		$298.70	$335.98	$474.16