Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,316.00	Facility		$488.00	$2,181.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $79.45 / $109.65	Professional		$68.16	$79.45	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,855.11 / $3,594.28 / $6,956.67	Facility		$1,855.11	$3,594.28	$6,956.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $86.04 / $93.72	Professional		$68.06	$86.04	$93.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.97 / $65.97 / $65.97	Facility		$65.97	$65.97	$65.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $101.17 / $186.00	Professional		$76.11	$101.17	$186.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $438.24 / $12,000.00 / $12,000.00	Facility		$438.24	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.59 / $1,656.28 / $1,710.93	Professional		$1,064.59	$1,656.28	$1,710.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $98.53 / $193.47	Facility		$73.72	$98.53	$193.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $110.86 / $130.43	Professional		$94.20	$110.86	$130.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.10 / $330.10 / $330.10	Professional		$330.10	$330.10	$330.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $100.86 / $193.47	Facility		$73.72	$100.86	$193.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $102.06 / $191.63	Professional		$77.03	$102.06	$191.63
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $84.95 / $133.71	Professional		$61.78	$84.95	$133.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $70.73 / $97.82	Professional		$61.84	$70.73	$97.82