Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $2,131.00 / $6,762.00	Facility		$466.00	$2,131.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $110.53 / $164.14	Professional		$99.23	$110.53	$164.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.76 / $1,265.33 / $2,736.04	Facility		$738.76	$1,265.33	$2,736.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $122.41 / $169.90	Professional		$96.34	$122.41	$169.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $90.32 / $90.32 / $91.80	Facility		$90.32	$90.32	$91.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.67 / $722.59 / $1,652.00	Facility		$544.67	$722.59	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $148.44 / $233.52	Professional		$110.06	$148.44	$233.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,855.25 / $11,500.00 / $12,000.00	Facility		$2,855.25	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $866.33 / $1,175.00 / $1,175.00	Professional		$866.33	$1,175.00	$1,175.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $137.29 / $239.44	Facility		$102.71	$137.29	$239.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $155.40 / $188.92	Professional		$116.81	$155.40	$188.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $185.40 / $264.60	Professional		$5.00	$185.40	$264.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $140.65 / $245.56	Facility		$102.71	$140.65	$245.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $156.11 / $264.02	Professional		$113.50	$156.11	$264.02
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $123.46 / $195.59	Professional		$89.79	$123.46	$195.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $101.50 / $137.12	Professional		$86.69	$101.50	$137.12