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 $126.47 / $166.60 / $248.10	Professional		$126.47	$166.60	$248.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $281.32 / $623.79	Facility		$159.00	$281.32	$623.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $173.20 / $280.08	Professional		$135.69	$173.20	$280.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $170.63 / $170.63 / $178.57	Facility		$170.63	$170.63	$178.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $234.57 / $475.67	Professional		$179.32	$234.57	$475.67
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 $2,475.00 / $2,475.00 / $2,475.00	Professional		$2,475.00	$2,475.00	$2,475.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.65 / $217.01 / $453.26	Facility		$154.65	$217.01	$453.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.53 / $257.85 / $337.06	Professional		$168.53	$257.85	$337.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.94 / $211.94 / $359.96	Professional		$181.94	$211.94	$359.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.37 / $217.01 / $458.23	Facility		$152.37	$217.01	$458.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.58 / $249.31 / $460.89	Professional		$183.58	$249.31	$460.89
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 $137.51 / $187.97 / $346.10	Professional		$137.51	$187.97	$346.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $165.40 / $225.36	Professional		$143.84	$165.40	$225.36