Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,128.00 / $7,513.00	Facility		$515.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $764.94 / $1,174.17	Professional		$48.41	$764.94	$1,174.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $103.43 / $527.01	Facility		$61.55	$103.43	$527.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $167.04 / $1,343.61	Professional		$45.79	$167.04	$1,343.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $43.53 / $43.53	Facility		$43.53	$43.53	$43.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $133.58 / $1,511.66	Professional		$57.49	$133.58	$1,511.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $243.34	Facility		$55.00	$55.00	$243.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,087.83 / $5,848.72 / $6,918.23	Professional		$3,087.83	$5,848.72	$6,918.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $201.58 / $1,405.48	Facility		$49.38	$201.58	$1,405.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $871.39 / $1,386.30	Professional		$63.49	$871.39	$1,386.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.20 / $1,277.20 / $1,277.20	Professional		$1,277.20	$1,277.20	$1,277.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $669.69 / $1,803.44	Facility		$49.38	$669.69	$1,803.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $158.94 / $1,616.71	Professional		$58.71	$158.94	$1,616.71
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.75 / $1,067.84 / $1,728.90	Professional		$762.75	$1,067.84	$1,728.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.09 / $750.35 / $1,076.33	Professional		$676.09	$750.35	$1,076.33