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 $114.55 / $133.69 / $183.94	Professional		$114.55	$133.69	$183.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.27 / $2,154.98 / $4,653.10	Facility		$988.27	$2,154.98	$4,653.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $132.53 / $198.66	Professional		$99.65	$132.53	$198.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.53 / $109.53 / $109.53	Facility		$109.53	$109.53	$109.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $173.08 / $297.41	Professional		$130.29	$173.08	$297.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,017.35 / $12,000.00 / $12,000.00	Facility		$4,017.35	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.25 / $1,939.05 / $2,003.03	Professional		$1,335.25	$1,939.05	$2,003.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.45 / $163.81 / $325.14	Facility		$117.45	$163.81	$325.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $185.59 / $218.34	Professional		$157.69	$185.59	$218.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $411.50 / $411.50 / $411.50	Professional		$411.50	$411.50	$411.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.01 / $166.47 / $325.14	Facility		$118.01	$166.47	$325.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $174.32 / $312.00	Professional		$130.79	$174.32	$312.00
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $144.11 / $224.11	Professional		$104.81	$144.11	$224.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $118.67 / $163.71	Professional		$103.53	$118.67	$163.71