Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,221.00 / $7,316.00	Facility		$488.00	$2,221.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $156.65 / $219.00	Professional		$142.57	$156.65	$219.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,647.54 / $2,816.76 / $5,456.37	Facility		$1,647.54	$2,816.76	$5,456.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $171.03 / $233.07	Professional		$134.19	$171.03	$233.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $200.68 / $336.51	Professional		$154.37	$200.68	$336.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $12,000.00 / $12,000.00	Facility		$5,444.45	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,466.09 / $2,142.87 / $2,213.59	Professional		$1,466.09	$2,142.87	$2,213.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.25 / $199.29 / $399.04	Facility		$147.25	$199.29	$399.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.81 / $222.22 / $261.43	Professional		$188.81	$222.22	$261.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $452.00 / $452.00	Professional		$452.00	$452.00	$452.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.49 / $201.07 / $411.26	Facility		$147.49	$201.07	$411.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $203.70 / $338.47	Professional		$154.53	$203.70	$338.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $169.51 / $261.97	Professional		$121.74	$169.51	$261.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $141.29 / $196.26	Professional		$123.96	$141.29	$196.26