Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,768.00 / $7,542.00	Facility		$652.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $144.07 / $219.05	Professional		$111.63	$144.07	$219.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.41 / $508.02 / $1,100.00	Facility		$252.41	$508.02	$1,100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.19 / $151.91 / $248.06	Professional		$120.19	$151.91	$248.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $151.28 / $158.28	Facility		$151.28	$151.28	$158.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $205.74 / $406.85	Professional		$159.16	$205.74	$406.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $16,394.00 / $16,394.00	Facility		$2,000.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,380.89 / $2,380.89 / $2,380.89	Professional		$2,380.89	$2,380.89	$2,380.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.54 / $192.03 / $392.86	Facility		$136.54	$192.03	$392.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.79 / $227.65 / $297.58	Professional		$148.79	$227.65	$297.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $188.90 / $430.18	Professional		$160.63	$188.90	$430.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.29 / $191.66 / $392.86	Facility		$134.29	$191.66	$392.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $218.87 / $391.01	Professional		$161.79	$218.87	$391.01
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $163.04 / $312.37	Professional		$121.26	$163.04	$312.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $146.03 / $199.03	Professional		$126.99	$146.03	$199.03