Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.38 / $2,131.00 / $7,513.00	Facility		$455.38	$2,131.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.20 / $399.40 / $650.99	Professional		$207.20	$399.40	$650.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $732.68 / $1,299.28 / $2,720.37	Facility		$732.68	$1,299.28	$2,720.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $380.34 / $644.54	Professional		$212.69	$380.34	$644.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $220.71 / $227.15	Facility		$80.00	$220.71	$227.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $407.87 / $407.87	Facility		$407.87	$407.87	$407.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $457.49 / $754.39	Professional		$256.77	$457.49	$754.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.52 / $11,500.00 / $12,000.00	Facility		$1,104.52	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.29 / $3,403.92 / $4,079.18	Professional		$1,855.29	$3,403.92	$4,079.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $443.40 / $698.18	Facility		$217.00	$443.40	$698.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.55 / $545.23 / $864.57	Professional		$306.55	$545.23	$864.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $497.58 / $1,000.78	Professional		$241.91	$497.58	$1,000.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $445.16 / $706.11	Facility		$217.00	$445.16	$706.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.66 / $473.79 / $824.94	Professional		$262.66	$473.79	$824.94
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 $339.03 / $459.78 / $738.88	Professional		$339.03	$459.78	$738.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $396.71 / $445.16 / $627.74	Professional		$396.71	$445.16	$627.74