Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.52 / $3,060.00 / $10,639.00	Facility		$325.52	$3,060.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $215.61 / $288.64	Professional		$117.47	$215.61	$288.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,726.60 / $4,847.28 / $8,861.16	Facility		$2,726.60	$4,847.28	$8,861.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $230.15 / $412.14	Professional		$131.19	$230.15	$412.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $123.44 / $123.44	Facility		$123.44	$123.44	$123.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,207.78 / $2,207.78 / $2,207.78	Facility		$2,207.78	$2,207.78	$2,207.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $300.48 / $486.53	Professional		$162.56	$300.48	$486.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.71 / $5,897.00 / $5,897.00	Facility		$492.71	$5,897.00	$5,897.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.00 / $2,056.57 / $2,275.94	Professional		$1,186.00	$2,056.57	$2,275.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.87 / $250.40 / $457.33	Facility		$138.87	$250.40	$457.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.23 / $287.14 / $469.87	Professional		$181.23	$287.14	$469.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $302.30 / $617.79	Professional		$149.02	$302.30	$617.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $255.92 / $489.00	Facility		$139.63	$255.92	$489.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $308.79 / $500.55	Professional		$163.47	$308.79	$500.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.95 / $296.60 / $483.88	Professional		$221.95	$296.60	$483.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $250.40 / $353.03	Professional		$222.79	$250.40	$353.03