Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,219.00 / $11,453.00	Facility		$727.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $229.08 / $357.37	Professional		$200.62	$229.08	$357.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.00 / $3,070.00 / $6,612.00	Facility		$1,495.00	$3,070.00	$6,612.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.07 / $263.37 / $358.89	Professional		$208.07	$263.37	$358.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $187.94 / $193.61	Facility		$80.00	$187.94	$193.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $256.99 / $256.99	Facility		$256.99	$256.99	$256.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.18 / $307.52 / $483.99	Professional		$229.18	$307.52	$483.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $566.88 / $11,500.00 / $26,542.00	Facility		$566.88	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,662.66 / $1,662.66 / $1,910.93	Professional		$1,662.66	$1,662.66	$1,910.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.59 / $300.47 / $450.70	Facility		$218.59	$300.47	$450.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.54 / $329.45 / $408.51	Professional		$274.54	$329.45	$408.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.10 / $391.27 / $831.26	Professional		$320.10	$391.27	$831.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.59 / $300.47 / $482.14	Facility		$218.59	$300.47	$482.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.13 / $321.33 / $483.99	Professional		$231.13	$321.33	$483.99
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.25 / $250.86 / $385.36	Professional		$185.25	$250.86	$385.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $214.22 / $295.18	Professional		$187.45	$214.22	$295.18