Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.64 / $2,071.00 / $6,386.00	Facility		$271.64	$2,071.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $223.66 / $336.80	Professional		$161.91	$223.66	$336.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,166.71 / $2,154.98 / $4,246.29	Facility		$1,166.71	$2,154.98	$4,246.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $214.35 / $357.18	Professional		$154.08	$214.35	$357.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
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 $183.90 / $266.23 / $426.90	Professional		$183.90	$266.23	$426.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $852.34 / $12,000.00 / $12,000.00	Facility		$852.34	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.92 / $1,954.35 / $2,757.97	Professional		$1,227.92	$1,954.35	$2,757.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.25 / $248.92 / $468.47	Facility		$165.25	$248.92	$468.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.88 / $293.10 / $405.83	Professional		$214.88	$293.10	$405.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $510.30 / $510.30 / $510.30	Professional		$510.30	$510.30	$510.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.25 / $252.69 / $491.14	Facility		$165.25	$252.69	$491.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.38 / $269.13 / $462.08	Professional		$185.38	$269.13	$462.08
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 $175.90 / $252.95 / $394.50	Professional		$175.90	$252.95	$394.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.42 / $217.29 / $304.88	Professional		$192.42	$217.29	$304.88