Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,594.00 / $7,542.00	Facility		$649.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $213.09 / $288.41	Professional		$176.12	$213.09	$288.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,485.73 / $4,434.72 / $8,751.99	Facility		$2,485.73	$4,434.72	$8,751.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $209.66 / $314.27	Professional		$157.63	$209.66	$314.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $163.71 / $163.71 / $163.71	Facility		$163.71	$163.71	$163.71
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 $199.55 / $262.27 / $411.35	Professional		$199.55	$262.27	$411.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,133.70 / $12,000.00 / $12,000.00	Facility		$9,133.70	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.06 / $3,317.06 / $3,317.06	Professional		$3,317.06	$3,317.06	$3,317.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.31 / $257.04 / $545.74	Facility		$191.31	$257.04	$545.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.42 / $290.01 / $341.19	Professional		$246.42	$290.01	$341.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.80 / $292.80 / $292.80	Professional		$292.80	$292.80	$292.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.31 / $266.37 / $545.74	Facility		$191.31	$266.37	$545.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.45 / $265.05 / $423.18	Professional		$201.45	$265.05	$423.18
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 $160.24 / $220.33 / $340.51	Professional		$160.24	$220.33	$340.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $184.77 / $255.47	Professional		$161.78	$184.77	$255.47