Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,125.00 / $2,166.00	Facility		$650.00	$1,125.00	$2,166.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,221.00 / $1,221.00 / $1,221.00	Facility		$1,221.00	$1,221.00	$1,221.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $19.00 / $612.00	Facility		$12.00	$19.00	$612.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $687.00 / $1,332.00	Facility		$505.00	$687.00	$1,332.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $5,000.00 / $5,000.00	Facility		$2,400.00	$5,000.00	$5,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $5,000.00 / $5,000.00	Facility		$624.00	$5,000.00	$5,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $687.00 / $1,177.00	Facility		$487.00	$687.00	$1,177.00
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,445.00 / $1,510.00	Facility		$591.00	$1,445.00	$1,510.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00