Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $3,596.00 / $12,281.00	Facility		$812.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $188.22 / $225.73	Professional		$165.36	$188.22	$225.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,055.00 / $11,539.19 / $23,154.81	Facility		$6,055.00	$11,539.19	$23,154.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $192.07 / $267.60	Professional		$151.75	$192.07	$267.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $143.09 / $143.09 / $143.09	Facility		$143.09	$143.09	$143.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,648.38 / $10,648.38 / $10,648.38	Facility		$10,648.38	$10,648.38	$10,648.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $235.09 / $378.00	Professional		$171.32	$235.09	$378.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,933.00 / $42,076.05	Facility		$55.00	$11,933.00	$42,076.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,340.19 / $3,340.19 / $3,340.19	Professional		$3,340.19	$3,340.19	$3,340.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.28 / $227.74 / $493.54	Facility		$169.28	$227.74	$493.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $238.71 / $286.45	Professional		$206.88	$238.71	$286.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $169.28 / $279.89	Professional		$142.38	$169.28	$279.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.28 / $236.46 / $640.42	Facility		$169.28	$236.46	$640.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $240.29 / $423.06	Professional		$171.32	$240.29	$423.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.06 / $194.52 / $304.77	Professional		$143.06	$194.52	$304.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $155.75 / $213.21	Professional		$135.82	$155.75	$213.21