Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $2,166.00 / $7,316.00	Facility		$474.00	$2,166.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $122.17 / $169.95	Professional		$110.69	$122.17	$169.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.09 / $901.58 / $2,164.35	Facility		$434.09	$901.58	$2,164.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $133.37 / $145.27	Professional		$105.51	$133.37	$145.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.75 / $98.75 / $98.75	Facility		$98.75	$98.75	$98.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.50 / $453.50 / $453.50	Facility		$453.50	$453.50	$453.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $157.57 / $241.08	Professional		$119.45	$157.57	$241.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $12,000.00 / $12,000.00	Facility		$2,000.00	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $842.56 / $858.56 / $943.28	Professional		$842.56	$858.56	$943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.27 / $153.04 / $258.24	Facility		$112.27	$153.04	$258.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $170.24 / $200.29	Professional		$144.65	$170.24	$200.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $155.50 / $155.50	Professional		$155.50	$155.50	$155.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.27 / $155.38 / $292.61	Facility		$112.27	$155.38	$292.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $158.58 / $247.64	Professional		$119.45	$158.58	$247.64
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $133.38 / $206.14	Professional		$97.01	$133.38	$206.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $108.81 / $150.61	Professional		$94.97	$108.81	$150.61