Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $71.13 / $101.59	Professional		$65.33	$71.13	$101.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.43 / $1,224.05 / $3,936.00	Facility		$734.43	$1,224.05	$3,936.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $61.75 / $126.63	Professional		$55.00	$61.75	$126.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $61.56 / $61.56	Facility		$61.56	$61.56	$61.56
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 $70.31 / $93.06 / $180.75	Professional		$70.31	$93.06	$180.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,444.45	Facility		$55.00	$55.00	$5,444.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,301.89 / $1,344.85	Professional		$1,028.19	$1,301.89	$1,344.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $90.81 / $246.98	Facility		$67.09	$90.81	$246.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $102.94 / $121.10	Professional		$87.46	$102.94	$121.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $257.70 / $257.70	Professional		$257.70	$257.70	$257.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $91.75 / $247.57	Facility		$67.09	$91.75	$247.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $94.49 / $180.75	Professional		$70.95	$94.49	$180.75
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 $56.30 / $77.41 / $124.70	Professional		$56.30	$77.41	$124.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $65.54 / $90.81	Professional		$57.42	$65.54	$90.81