Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.02 / $2,512.00 / $7,495.00	Facility		$298.02	$2,512.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.37 / $226.08 / $308.13	Professional		$183.37	$226.08	$308.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,576.68 / $2,781.33 / $5,438.66	Facility		$1,576.68	$2,781.33	$5,438.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $222.83 / $363.14	Professional		$172.98	$222.83	$363.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $167.04 / $167.04 / $167.04	Facility		$167.04	$167.04	$167.04
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 $203.00 / $271.48 / $429.78	Professional		$203.00	$271.48	$429.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $939.98 / $16,394.00 / $16,394.00	Facility		$939.98	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.80 / $1,942.50 / $2,234.44	Professional		$1,376.80	$1,942.50	$2,234.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.24 / $259.56 / $485.93	Facility		$193.24	$259.56	$485.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.96 / $305.83 / $404.06	Professional		$240.96	$305.83	$404.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $451.70 / $451.70 / $451.70	Professional		$451.70	$451.70	$451.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.24 / $261.47 / $520.48	Facility		$193.24	$261.47	$520.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.25 / $284.49 / $480.73	Professional		$206.25	$284.49	$480.73
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 $184.84 / $252.13 / $395.73	Professional		$184.84	$252.13	$395.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.59 / $217.61 / $303.01	Professional		$191.59	$217.61	$303.01