Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $2,128.00 / $6,762.00	Facility		$382.00	$2,128.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.66 / $237.24 / $356.45	Professional		$106.66	$237.24	$356.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.43 / $597.00 / $1,409.53	Facility		$345.43	$597.00	$1,409.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $258.33 / $431.63	Professional		$96.53	$258.33	$431.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $95.33 / $95.33	Facility		$95.33	$95.33	$95.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.58 / $299.58 / $299.58	Facility		$299.58	$299.58	$299.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $233.52 / $458.42	Professional		$115.75	$233.52	$458.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.95 / $12,000.00 / $12,000.00	Facility		$831.95	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.76 / $2,134.04 / $2,337.53	Professional		$1,043.76	$2,134.04	$2,337.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.67 / $271.27 / $556.64	Facility		$101.67	$271.27	$556.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $298.17 / $474.36	Professional		$130.78	$298.17	$474.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $233.20 / $383.40	Professional		$97.22	$233.20	$383.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $272.86 / $559.97	Facility		$101.39	$272.86	$559.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $260.12 / $517.51	Professional		$117.59	$260.12	$517.51
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $931.00 / $2,287.00	Facility		$157.00	$931.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.47 / $308.07 / $510.55	Professional		$222.47	$308.07	$510.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $259.87 / $367.96	Professional		$231.34	$259.87	$367.96