Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,219.00 / $11,453.00	Facility		$732.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $185.04 / $307.19	Professional		$164.25	$185.04	$307.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,408.96 / $4,325.17 / $8,431.35	Facility		$2,408.96	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.21 / $199.47 / $279.77	Professional		$162.21	$199.47	$279.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $160.52 / $160.52	Facility		$80.00	$160.52	$160.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $199.04 / $199.04	Facility		$199.04	$199.04	$199.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $245.24 / $409.60	Professional		$179.93	$245.24	$409.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $727.32 / $11,500.00 / $26,542.00	Facility		$727.32	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,851.03 / $3,532.88 / $3,649.47	Professional		$1,851.03	$3,532.88	$3,649.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.63 / $250.28 / $436.31	Facility		$163.63	$250.28	$436.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $256.19 / $317.67	Professional		$213.49	$256.19	$317.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.48 / $199.26 / $391.03	Professional		$182.48	$199.26	$391.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.05 / $251.39 / $437.00	Facility		$166.05	$251.39	$437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.26 / $255.61 / $405.66	Professional		$180.26	$255.61	$405.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $189.64 / $308.75	Professional		$138.91	$189.64	$308.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $166.05 / $231.46	Professional		$145.76	$166.05	$231.46