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 $36.22 / $40.31 / $62.65	Professional		$36.22	$40.31	$62.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,558.96 / $2,781.33 / $5,438.66	Facility		$1,558.96	$2,781.33	$5,438.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $43.64 / $60.79	Professional		$34.24	$43.64	$60.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $32.65 / $32.65	Facility		$32.65	$32.65	$32.65
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 $39.11 / $52.05 / $80.51	Professional		$39.11	$52.05	$80.51
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 $518.44 / $914.31 / $914.31	Professional		$518.44	$914.31	$914.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $51.62 / $95.33	Facility		$37.01	$51.62	$95.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $54.93 / $64.62	Professional		$46.67	$54.93	$64.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Professional		$57.00	$57.00	$57.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $52.31 / $103.89	Facility		$37.01	$52.31	$103.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $52.90 / $89.74	Professional		$40.17	$52.90	$89.74
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 $31.04 / $42.68 / $68.09	Professional		$31.04	$42.68	$68.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $35.25 / $48.49	Professional		$30.64	$35.25	$48.49