Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $2,153.00 / $7,316.00	Facility		$466.00	$2,153.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.64 / $217.72 / $329.70	Professional		$193.64	$217.72	$329.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,384.65 / $4,527.81 / $8,995.25	Facility		$2,384.65	$4,527.81	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $241.94 / $337.08	Professional		$189.84	$241.94	$337.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $189.30 / $189.30 / $189.30	Facility		$189.30	$189.30	$189.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $283.20 / $436.58	Professional		$217.42	$283.20	$436.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $12,000.00 / $12,000.00	Facility		$9,388.90	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.00 / $1,782.00 / $1,782.00	Professional		$1,782.00	$1,782.00	$1,782.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.47 / $277.16 / $463.77	Facility		$207.47	$277.16	$463.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.60 / $313.77 / $369.14	Professional		$266.60	$313.77	$369.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.70 / $320.70 / $320.70	Professional		$320.70	$320.70	$320.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.47 / $279.00 / $532.88	Facility		$207.47	$279.00	$532.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $288.33 / $476.52	Professional		$217.42	$288.33	$476.52
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 $174.96 / $240.57 / $380.98	Professional		$174.96	$240.57	$380.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.03 / $199.87 / $276.97	Professional		$175.03	$199.87	$276.97