Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.49 / $2,128.00 / $7,513.00	Facility		$370.49	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $267.62 / $441.73	Professional		$128.46	$267.62	$441.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.72 / $1,299.28 / $2,752.85	Facility		$722.72	$1,299.28	$2,752.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $255.69 / $417.71	Professional		$129.63	$255.69	$417.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $127.16 / $127.76	Facility		$80.00	$127.16	$127.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $239.86 / $239.86	Facility		$239.86	$239.86	$239.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.05 / $301.74 / $526.94	Professional		$157.05	$301.74	$526.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.35 / $11,500.00 / $12,000.00	Facility		$812.35	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.75 / $2,271.35 / $2,567.48	Professional		$1,148.75	$2,271.35	$2,567.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $301.74 / $545.40	Facility		$138.77	$301.74	$545.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.14 / $348.69 / $535.07	Professional		$179.14	$348.69	$535.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $328.70 / $686.44	Professional		$158.44	$328.70	$686.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $305.01 / $552.05	Facility		$139.19	$305.01	$552.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $304.10 / $585.60	Professional		$157.47	$304.10	$585.60
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.11 / $326.57 / $523.27	Professional		$237.11	$326.57	$523.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.70 / $284.99 / $403.33	Professional		$253.70	$284.99	$403.33