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 / $4,060.00	Facility		$772.00	$2,162.00	$4,060.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $1,125.00 / $1,125.00	Facility		$1,125.00	$1,125.00	$1,125.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.96 / $174.96 / $2,229.00	Facility		$174.96	$174.96	$2,229.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $1,450.00 / $3,082.00	Facility		$741.00	$1,450.00	$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 $822.00 / $822.00 / $822.00	Facility		$822.00	$822.00	$822.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,256.00 / $3,028.00	Facility		$630.00	$1,256.00	$3,028.00
United Facility/Professional Facility Modifier Low / Median / High Price $542.00 / $1,040.00 / $2,234.00	Facility		$542.00	$1,040.00	$2,234.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,275.00 / $1,275.00	Facility		$900.00	$1,275.00	$1,275.00