Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,162.00 / $4,049.00	Facility		$772.00	$2,162.00	$4,049.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,232.00 / $1,232.00	Facility		$1,232.00	$1,232.00	$1,232.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $1,980.00	Facility		$700.00	$700.00	$1,980.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $1,420.00 / $3,082.00	Facility		$741.00	$1,420.00	$3,082.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,034.00 / $10,000.00 / $10,000.00	Facility		$5,034.00	$10,000.00	$10,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $837.00 / $890.00 / $966.00	Facility		$837.00	$890.00	$966.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,180.00 / $2,960.00	Facility		$660.00	$1,180.00	$2,960.00
United Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $1,016.00 / $2,251.00	Facility		$537.00	$1,016.00	$2,251.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,050.00 / $1,275.00	Facility		$900.00	$1,050.00	$1,275.00