Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,040.00	Facility		$895.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $196.12 / $377.99	Professional		$184.65	$196.12	$377.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.97 / $2,236.92 / $4,725.32	Facility		$1,230.97	$2,236.92	$4,725.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $224.43 / $326.77	Professional		$180.84	$224.43	$326.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $170.69 / $170.69 / $170.69	Facility		$170.69	$170.69	$170.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,262.64 / $1,262.64 / $1,262.64	Facility		$1,262.64	$1,262.64	$1,262.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.46 / $287.29 / $526.91	Professional		$216.46	$287.29	$526.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,989.20	Facility		$55.00	$55.00	$4,989.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,045.20 / $4,091.27 / $4,254.92	Professional		$4,045.20	$4,091.27	$4,254.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $352.56 / $608.75	Facility		$194.37	$352.56	$608.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.83 / $299.91 / $352.84	Professional		$254.83	$299.91	$352.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $383.30 / $383.30 / $383.30	Professional		$383.30	$383.30	$383.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $363.68 / $644.60	Facility		$194.37	$363.68	$644.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.39 / $292.45 / $556.28	Professional		$217.39	$292.45	$556.28
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.84 / $235.02 / $426.06	Professional		$163.84	$235.02	$426.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $191.21 / $263.06	Professional		$167.30	$191.21	$263.06