Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,244.00 / $7,513.00	Facility		$488.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.84 / $196.61 / $321.08	Professional		$165.84	$196.61	$321.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,274.76 / $2,374.84 / $4,723.45	Facility		$1,274.76	$2,374.84	$4,723.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $214.36 / $319.10	Professional		$161.16	$214.36	$319.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $179.56 / $179.56	Facility		$80.00	$179.56	$179.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $225.06 / $225.06	Facility		$225.06	$225.06	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $249.05 / $384.74	Professional		$186.51	$249.05	$384.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,436.42 / $11,500.00 / $12,000.00	Facility		$1,436.42	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,054.09 / $8,054.09 / $8,054.09	Professional		$8,054.09	$8,054.09	$8,054.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.38 / $220.70 / $398.00	Facility		$179.38	$220.70	$398.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $293.55 / $364.00	Professional		$244.63	$293.55	$364.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.10 / $222.10 / $222.10	Professional		$222.10	$222.10	$222.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $222.88 / $414.67	Facility		$179.44	$222.88	$414.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $259.48 / $398.02	Professional		$191.41	$259.48	$398.02
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $196.99 / $303.83	Professional		$145.88	$196.99	$303.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.02 / $188.21 / $264.77	Professional		$167.02	$188.21	$264.77