Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.75 / $1,839.00 / $6,762.00	Facility		$429.75	$1,839.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $533.60 / $3,322.00	Professional		$192.50	$533.60	$3,322.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $410.98 / $934.52	Facility		$232.98	$410.98	$934.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $266.00 / $266.00	Facility		$266.00	$266.00	$266.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.00 / $1,138.00 / $1,138.00	Professional		$1,138.00	$1,138.00	$1,138.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,572.48 / $5,572.48 / $5,572.48	Professional		$5,572.48	$5,572.48	$5,572.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $856.94 / $1,746.16 / $3,819.38	Facility		$856.94	$1,746.16	$3,819.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $183.43 / $1,338.00	Professional		$183.43	$183.43	$1,338.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,008.01 / $5,212.10 / $11,602.38	Facility		$4,008.01	$5,212.10	$11,602.38
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,073.00 / $2,827.00	Facility		$161.00	$1,073.00	$2,827.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00