Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.63 / $2,500.00 / $7,495.00	Facility		$317.63	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $197.57 / $268.02	Professional		$127.70	$197.57	$268.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,309.13 / $4,434.72 / $8,663.87	Facility		$2,309.13	$4,434.72	$8,663.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $199.62 / $278.18	Professional		$119.77	$199.62	$278.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.36 / $110.36 / $110.36	Facility		$110.36	$110.36	$110.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.50 / $2,311.50 / $2,311.50	Facility		$2,311.50	$2,311.50	$2,311.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $225.52 / $372.00	Professional		$139.80	$225.52	$372.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,032.08 / $16,394.00 / $16,394.00	Facility		$1,032.08	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.00 / $1,991.24 / $1,991.24	Professional		$1,799.00	$1,991.24	$1,991.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.54 / $229.88 / $451.44	Facility		$134.54	$229.88	$451.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.58 / $234.04 / $377.30	Professional		$163.58	$234.04	$377.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $262.00 / $262.00	Professional		$262.00	$262.00	$262.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $231.51 / $474.71	Facility		$134.74	$231.51	$474.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $230.35 / $403.50	Professional		$143.22	$230.35	$403.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.94 / $234.69 / $366.84	Professional		$172.94	$234.69	$366.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $201.66 / $283.66	Professional		$178.90	$201.66	$283.66