Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.44 / $2,572.00 / $7,495.00	Facility		$387.44	$2,572.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.01 / $236.87 / $363.23	Professional		$174.01	$236.87	$363.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.48 / $1,291.16 / $2,752.85	Facility		$706.48	$1,291.16	$2,752.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $236.69 / $326.36	Professional		$175.45	$236.69	$326.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $179.44 / $182.82	Facility		$80.00	$179.44	$182.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.19 / $327.19 / $327.19	Facility		$327.19	$327.19	$327.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.27 / $291.33 / $428.13	Professional		$207.27	$291.33	$428.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $892.96 / $11,500.00 / $16,394.00	Facility		$892.96	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.00 / $1,854.08 / $2,176.94	Professional		$1,498.00	$1,854.08	$2,176.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.24 / $261.89 / $417.92	Facility		$188.24	$261.89	$417.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.74 / $329.46 / $466.28	Professional		$244.74	$329.46	$466.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.41 / $299.89 / $711.20	Professional		$196.41	$299.89	$711.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.59 / $262.20 / $427.77	Facility		$188.59	$262.20	$427.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $301.67 / $480.03	Professional		$211.62	$301.67	$480.03
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 $187.85 / $256.18 / $405.36	Professional		$187.85	$256.18	$405.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $242.15 / $338.49	Professional		$213.96	$242.15	$338.49