Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,783.00 / $7,542.00	Facility		$652.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.75 / $214.49 / $363.16	Professional		$180.75	$214.49	$363.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,177.25 / $1,987.00 / $4,278.00	Facility		$1,177.25	$1,987.00	$4,278.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $241.81 / $338.71	Professional		$196.38	$241.81	$338.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $181.79 / $188.36	Facility		$80.00	$181.79	$188.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $242.82 / $242.82	Facility		$242.82	$242.82	$242.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.88 / $300.45 / $451.72	Professional		$220.88	$300.45	$451.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $532.47 / $11,500.00 / $16,394.00	Facility		$532.47	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,523.04 / $1,555.12 / $1,818.30	Professional		$1,523.04	$1,555.12	$1,818.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $271.61 / $440.00	Facility		$204.63	$271.61	$440.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.99 / $311.99 / $386.86	Professional		$259.99	$311.99	$386.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.36 / $302.60 / $469.78	Professional		$203.36	$302.60	$469.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $276.82 / $453.88	Facility		$205.62	$276.82	$453.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.62 / $307.02 / $456.33	Professional		$221.62	$307.02	$456.33
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $233.61 / $376.60	Professional		$172.16	$233.61	$376.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $202.88 / $279.08	Professional		$177.51	$202.88	$279.08