Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,290.00 / $7,513.00	Facility		$488.00	$2,290.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $103.93 / $322.56	Professional		$91.09	$103.93	$322.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.57 / $1,040.33 / $2,225.69	Facility		$612.57	$1,040.33	$2,225.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $92.76 / $170.06	Professional		$72.55	$92.76	$170.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $83.08 / $83.08	Facility		$83.08	$83.08	$83.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.77 / $907.77 / $907.77	Facility		$907.77	$907.77	$907.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $145.31 / $469.80	Professional		$99.17	$145.31	$469.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,586.95 / $12,000.00 / $12,000.00	Facility		$3,586.95	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.00 / $2,500.00 / $2,500.00	Professional		$1,374.00	$2,500.00	$2,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.16 / $166.07 / $506.17	Facility		$96.16	$166.07	$506.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $132.94 / $159.53	Professional		$115.22	$132.94	$159.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $510.00 / $510.00	Professional		$510.00	$510.00	$510.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $174.14 / $524.74	Facility		$96.36	$174.14	$524.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $151.66 / $461.34	Professional		$100.27	$151.66	$461.34
United Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $1,529.00 / $5,925.00	Facility		$365.00	$1,529.00	$5,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $244.38 / $459.00	Professional		$87.05	$244.38	$459.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $87.42 / $119.43	Professional		$75.64	$87.42	$119.43