Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,673.00 / $7,542.00	Facility		$649.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.04 / $197.27 / $305.10	Professional		$168.04	$197.27	$305.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $3,017.00 / $4,353.00	Facility		$1,845.00	$3,017.00	$4,353.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.91 / $174.88 / $232.60	Professional		$166.91	$174.88	$232.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.54 / $162.54 / $171.91	Facility		$162.54	$162.54	$171.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $210.83 / $210.83	Facility		$210.83	$210.83	$210.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.83 / $250.63 / $404.03	Professional		$187.83	$250.63	$404.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $682.32 / $3,930.50	Facility		$55.00	$682.32	$3,930.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.56 / $1,376.72 / $1,538.10	Professional		$1,348.56	$1,376.72	$1,538.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.03 / $230.34 / $387.19	Facility		$176.03	$230.34	$387.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.31 / $296.75 / $358.29	Professional		$229.31	$296.75	$358.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $332.20 / $456.50	Professional		$3.00	$332.20	$456.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.03 / $232.22 / $396.00	Facility		$176.03	$232.22	$396.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.64 / $265.18 / $485.93	Professional		$191.64	$265.18	$485.93
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.55 / $205.18 / $338.85	Professional		$158.55	$205.18	$338.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $176.03 / $242.66	Professional		$153.50	$176.03	$242.66