Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,131.00 / $7,513.00	Facility		$488.00	$2,131.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $276.18 / $562.62	Professional		$223.93	$276.18	$562.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.65 / $1,291.16 / $2,679.76	Facility		$684.65	$1,291.16	$2,679.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.11 / $294.54 / $401.36	Professional		$231.11	$294.54	$401.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $308.48 / $324.69	Facility		$80.00	$308.48	$324.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.16 / $399.22 / $628.63	Professional		$282.16	$399.22	$628.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,764.70 / $11,500.00 / $12,000.00	Facility		$1,764.70	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,559.00 / $4,278.02 / $4,278.02	Professional		$3,559.00	$4,278.02	$4,278.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.54 / $408.60 / $839.00	Facility		$269.54	$408.60	$839.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.55 / $486.66 / $603.46	Professional		$405.55	$486.66	$603.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.40 / $363.40 / $363.40	Professional		$363.40	$363.40	$363.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.54 / $409.57 / $839.00	Facility		$269.54	$409.57	$839.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.47 / $404.00 / $637.38	Professional		$290.47	$404.00	$637.38
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.81 / $295.36 / $628.55	Professional		$214.81	$295.36	$628.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $314.31 / $430.81	Professional		$276.89	$314.31	$430.81