Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,244.00 / $7,513.00	Facility		$488.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.90 / $274.36 / $534.78	Professional		$226.90	$274.36	$534.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,166.71 / $2,156.85 / $4,277.00	Facility		$1,166.71	$2,156.85	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.70 / $299.60 / $408.26	Professional		$236.70	$299.60	$408.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $219.48 / $222.68	Facility		$80.00	$219.48	$222.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $293.24	Facility		$293.24	$293.24	$293.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $384.87 / $612.49	Professional		$267.95	$384.87	$612.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,937.71 / $11,500.00 / $12,000.00	Facility		$1,937.71	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,022.00 / $4,164.64 / $4,164.64	Professional		$3,022.00	$4,164.64	$4,164.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.35 / $401.14 / $990.74	Facility		$250.35	$401.14	$990.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.06 / $376.04 / $466.28	Professional		$294.06	$376.04	$466.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.80 / $344.80 / $344.80	Professional		$344.80	$344.80	$344.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.55 / $407.94 / $1,000.00	Facility		$250.55	$407.94	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.98 / $395.04 / $612.49	Professional		$270.98	$395.04	$612.49
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $303.70 / $716.75	Professional		$220.87	$303.70	$716.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $245.64 / $339.00	Professional		$213.96	$245.64	$339.00