Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.26 / $2,550.00 / $7,495.00	Facility		$391.26	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $233.60 / $413.16	Professional		$136.69	$233.60	$413.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $718.20 / $1,283.08 / $2,735.63	Facility		$718.20	$1,283.08	$2,735.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $241.75 / $387.42	Professional		$125.31	$241.75	$387.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.44 / $116.44 / $270.64	Facility		$116.44	$116.44	$270.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.55 / $610.55 / $630.51	Facility		$610.55	$610.55	$630.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $264.39 / $433.48	Professional		$141.00	$264.39	$433.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $941.16 / $16,394.00 / $16,394.00	Facility		$941.16	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $998.96 / $2,209.65 / $2,972.32	Professional		$998.96	$2,209.65	$2,972.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.41 / $256.18 / $430.42	Facility		$130.41	$256.18	$430.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $281.08 / $434.42	Professional		$146.22	$281.08	$434.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.11 / $244.54 / $293.43	Professional		$125.11	$244.54	$293.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.41 / $258.47 / $482.08	Facility		$130.41	$258.47	$482.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $266.66 / $444.01	Professional		$143.16	$266.66	$444.01
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,509.00	Facility		$597.00	$2,054.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.51 / $275.00 / $409.93	Professional		$206.51	$275.00	$409.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $244.54 / $346.84	Professional		$218.10	$244.54	$346.84