Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,244.00 / $7,513.00	Facility		$500.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.45 / $361.22 / $612.20	Professional		$304.45	$361.22	$612.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,909.05 / $4,621.18	Facility		$1,100.00	$2,909.05	$4,621.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.63 / $406.89 / $570.72	Professional		$328.63	$406.89	$570.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $305.63 / $316.55	Facility		$80.00	$305.63	$316.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.86 / $409.86 / $409.86	Facility		$409.86	$409.86	$409.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.43 / $504.95 / $770.24	Professional		$373.43	$504.95	$770.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $897.69 / $11,500.00 / $12,000.00	Facility		$897.69	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.58 / $2,624.08 / $3,065.33	Professional		$2,570.58	$2,624.08	$3,065.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.79 / $476.57 / $737.87	Facility		$344.79	$476.57	$737.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $438.30 / $525.96 / $652.19	Professional		$438.30	$525.96	$652.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $366.41 / $591.61 / $1,294.77	Professional		$366.41	$591.61	$1,294.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.62 / $477.06 / $772.32	Facility		$346.62	$477.06	$772.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.08 / $522.80 / $770.24	Professional		$374.08	$522.80	$770.24
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,078.00 / $2,827.00	Facility		$161.00	$1,078.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $393.81 / $637.60	Professional		$288.89	$393.81	$637.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $299.26 / $342.01 / $470.50	Professional		$299.26	$342.01	$470.50