Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.42 / $3,078.00 / $9,961.00	Facility		$414.42	$3,078.00	$9,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.90 / $248.48 / $391.80	Professional		$197.90	$248.48	$391.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,517.25 / $2,596.38 / $5,501.09	Facility		$1,517.25	$2,596.38	$5,501.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.99 / $268.41 / $405.42	Professional		$196.99	$268.41	$405.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $1,452.38 / $1,452.38	Facility		$185.61	$1,452.38	$1,452.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.30 / $1,408.30 / $1,408.30	Facility		$1,408.30	$1,408.30	$1,408.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.55 / $308.57 / $473.26	Professional		$221.55	$308.57	$473.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,067.14 / $26,542.00 / $26,542.00	Facility		$1,067.14	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.00 / $1,985.92 / $2,331.83	Professional		$1,541.00	$1,985.92	$2,331.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.92 / $284.91 / $565.29	Facility		$213.92	$284.91	$565.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $349.02 / $483.26	Professional		$269.95	$349.02	$483.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.10 / $252.10 / $252.10	Professional		$252.10	$252.10	$252.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.92 / $285.49 / $567.10	Facility		$213.92	$285.49	$567.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.47 / $317.97 / $525.46	Professional		$224.47	$317.97	$525.46
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.45 / $264.33 / $427.32	Professional		$191.45	$264.33	$427.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.14 / $259.01 / $362.68	Professional		$229.14	$259.01	$362.68