Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,107.00 / $6,762.00	Facility		$488.00	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.46 / $394.04 / $735.22	Professional		$176.46	$394.04	$735.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.48 / $1,576.63 / $3,371.00	Facility		$881.48	$1,576.63	$3,371.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $480.76 / $799.36	Professional		$166.15	$480.76	$799.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $159.97 / $591.29	Facility		$159.97	$159.97	$591.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.91 / $1,215.08 / $3,125.00	Facility		$915.91	$1,215.08	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.51 / $431.08 / $917.60	Professional		$197.51	$431.08	$917.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,057.00	Facility		$55.00	$55.00	$1,057.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,024.16 / $3,876.64 / $4,538.39	Professional		$2,024.16	$3,876.64	$4,538.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.35 / $493.31 / $871.28	Facility		$177.35	$493.31	$871.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.33 / $574.99 / $940.90	Professional		$228.33	$574.99	$940.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $522.35 / $1,059.73	Professional		$175.10	$522.35	$1,059.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.40 / $500.86 / $1,034.58	Facility		$177.40	$500.86	$1,034.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $514.11 / $1,227.66	Professional		$209.81	$514.11	$1,227.66
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.44 / $631.61 / $1,000.24	Professional		$466.44	$631.61	$1,000.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.13 / $521.82 / $708.97	Professional		$446.13	$521.82	$708.97