Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,102.00 / $10,546.00	Facility		$625.00	$3,102.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $499.54 / $825.74	Professional		$107.28	$499.54	$825.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.51 / $969.92 / $2,148.19	Facility		$518.51	$969.92	$2,148.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.85 / $472.38 / $971.68	Professional		$114.85	$472.38	$971.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $104.89 / $104.89	Facility		$104.89	$104.89	$104.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $625.69 / $1,415.24	Professional		$145.49	$625.69	$1,415.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $602.21	Facility		$55.00	$55.00	$602.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.73 / $4,380.80 / $5,126.03	Professional		$2,261.73	$4,380.80	$5,126.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.21 / $470.18 / $1,250.65	Facility		$119.21	$470.18	$1,250.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $649.35 / $1,062.58	Professional		$155.58	$649.35	$1,062.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.12 / $787.23 / $1,162.20	Professional		$146.12	$787.23	$1,162.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.21 / $494.63 / $1,269.78	Facility		$119.21	$494.63	$1,269.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $661.71 / $1,455.29	Professional		$148.16	$661.71	$1,455.29
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.30 / $903.54 / $1,454.60	Professional		$656.30	$903.54	$1,454.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $503.82 / $562.30 / $801.71	Professional		$503.82	$562.30	$801.71