Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.66 / $2,550.00 / $7,316.00	Facility		$299.66	$2,550.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $187.71 / $280.94	Professional		$129.66	$187.71	$280.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,560.03 / $2,781.33 / $5,438.66	Facility		$1,560.03	$2,781.33	$5,438.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $183.16 / $314.29	Professional		$128.71	$183.16	$314.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.91 / $1,455.32 / $1,455.32	Facility		$126.91	$1,455.32	$1,455.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.74 / $229.52 / $365.12	Professional		$156.74	$229.52	$365.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $709.37 / $16,394.00 / $16,394.00	Facility		$709.37	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.32 / $1,675.65 / $1,995.45	Professional		$1,032.32	$1,675.65	$1,995.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $217.16 / $410.14	Facility		$140.25	$217.16	$410.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $252.30 / $349.34	Professional		$179.56	$252.30	$349.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.40 / $380.40 / $380.40	Professional		$380.40	$380.40	$380.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $218.21 / $425.43	Facility		$140.25	$218.21	$425.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.74 / $232.29 / $391.43	Professional		$156.74	$232.29	$391.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $216.17 / $349.72	Professional		$157.08	$216.17	$349.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.64 / $187.29 / $262.64	Professional		$165.64	$187.29	$262.64