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 $134.68 / $154.88 / $194.83	Professional		$134.68	$154.88	$194.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,814.84 / $6,940.25 / $13,696.65	Facility		$3,814.84	$6,940.25	$13,696.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.51 / $160.13 / $223.09	Professional		$126.51	$160.13	$223.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.07 / $121.07 / $121.07	Facility		$121.07	$121.07	$121.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,283.94 / $6,283.94 / $6,283.94	Facility		$6,283.94	$6,283.94	$6,283.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $192.48 / $302.45	Professional		$143.00	$192.48	$302.45
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 $1,698.99 / $1,698.99 / $1,698.99	Professional		$1,698.99	$1,698.99	$1,698.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.19 / $188.25 / $341.00	Facility		$142.19	$188.25	$341.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $198.93 / $238.72	Professional		$172.41	$198.93	$238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Professional		$253.20	$253.20	$253.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.19 / $192.59 / $382.28	Facility		$142.19	$192.59	$382.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $198.11 / $339.70	Professional		$143.00	$198.11	$339.70
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 $116.93 / $157.93 / $246.11	Professional		$116.93	$157.93	$246.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $129.59 / $177.16	Professional		$113.19	$129.59	$177.16