Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,213.00 / $10,836.00	Facility		$727.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $149.46 / $189.60	Professional		$129.53	$149.46	$189.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,906.76 / $7,216.02 / $13,374.91	Facility		$3,906.76	$7,216.02	$13,374.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $154.66 / $215.49	Professional		$122.20	$154.66	$215.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.92 / $120.92 / $120.92	Facility		$120.92	$120.92	$120.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,320.03 / $4,320.03 / $4,320.03	Facility		$4,320.03	$4,320.03	$4,320.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $186.66 / $304.14	Professional		$142.60	$186.66	$304.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.84 / $2,068.84 / $2,068.84	Professional		$2,068.84	$2,068.84	$2,068.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $188.29 / $405.00	Facility		$138.77	$188.29	$405.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.78 / $193.59 / $232.31	Professional		$167.78	$193.59	$232.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $150.80 / $166.55	Professional		$133.99	$150.80	$166.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $193.31 / $418.50	Facility		$138.77	$193.31	$418.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $193.19 / $339.45	Professional		$142.60	$193.19	$339.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $6,646.00 / $13,190.00	Facility		$2,605.00	$6,646.00	$13,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $154.87 / $246.44	Professional		$116.15	$154.87	$246.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $126.40 / $172.27	Professional		$110.15	$126.40	$172.27