Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.97 / $2,512.00 / $7,495.00	Facility		$317.97	$2,512.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.84 / $178.11 / $306.30	Professional		$108.84	$178.11	$306.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.15 / $1,040.33 / $2,137.42	Facility		$561.15	$1,040.33	$2,137.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $182.56 / $309.83	Professional		$101.73	$182.56	$309.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $96.22 / $96.22	Facility		$96.22	$96.22	$96.22
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 $124.39 / $229.72 / $354.77	Professional		$124.39	$229.72	$354.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $855.05 / $16,394.00 / $16,394.00	Facility		$855.05	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $910.21 / $1,641.12 / $1,977.30	Professional		$910.21	$1,641.12	$1,977.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.26 / $215.84 / $378.04	Facility		$118.26	$215.84	$378.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $292.25 / $393.42	Professional		$137.93	$292.25	$393.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $244.60 / $244.60 / $244.60	Professional		$244.60	$244.60	$244.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.26 / $221.73 / $398.78	Facility		$118.26	$221.73	$398.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $242.14 / $408.42	Professional		$124.39	$242.14	$408.42
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 $162.41 / $240.30 / $403.36	Professional		$162.41	$240.30	$403.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.87 / $215.84 / $303.08	Professional		$191.87	$215.84	$303.08