Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,513.00	Facility		$488.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $184.28 / $294.86	Professional		$159.19	$184.28	$294.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.88 / $3,610.04 / $7,337.28	Facility		$2,062.88	$3,610.04	$7,337.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $209.60 / $292.02	Professional		$165.60	$209.60	$292.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $172.91 / $172.91 / $176.61	Facility		$172.91	$172.91	$176.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $1,818.57 / $2,361.01	Facility		$1,322.00	$1,818.57	$2,361.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.02 / $234.13 / $375.06	Professional		$176.02	$234.13	$375.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $12,000.00	Facility		$7,929.30	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.04 / $1,316.64 / $1,576.58	Professional		$1,295.04	$1,316.64	$1,576.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.64 / $201.01 / $367.05	Facility		$164.64	$201.01	$367.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.33 / $273.18 / $332.10	Professional		$205.33	$273.18	$332.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $217.50 / $459.60	Professional		$5.00	$217.50	$459.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $207.05 / $398.85	Facility		$165.78	$207.05	$398.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.51 / $250.72 / $453.76	Professional		$183.51	$250.72	$453.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,226.00 / $7,600.00	Facility		$1,190.00	$3,226.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $186.24 / $294.64	Professional		$139.13	$186.24	$294.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $177.27 / $239.58	Professional		$152.38	$177.27	$239.58