Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,290.00 / $7,316.00	Facility		$488.00	$2,290.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $46.61 / $73.53	Professional		$41.18	$46.61	$73.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,091.07 / $3,922.02 / $7,537.78	Facility		$2,091.07	$3,922.02	$7,537.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $55.32 / $77.08	Professional		$43.41	$55.32	$77.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $42.68 / $42.68	Facility		$42.68	$42.68	$42.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $2,403.30	Facility		$2,403.30	$2,403.30	$2,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $65.47 / $101.35	Professional		$48.48	$65.47	$101.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $12,000.00 / $12,000.00	Facility		$9,496.40	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $550.76 / $550.76 / $550.76	Professional		$550.76	$550.76	$550.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $60.36 / $102.37	Facility		$45.49	$60.36	$102.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $71.76 / $84.42	Professional		$60.97	$71.76	$84.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $114.30 / $114.30	Professional		$114.30	$114.30	$114.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $60.70 / $122.99	Facility		$45.49	$60.70	$122.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $66.09 / $110.18	Professional		$48.50	$66.09	$110.18
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 $39.21 / $53.80 / $83.32	Professional		$39.21	$53.80	$83.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $45.49 / $63.14	Professional		$40.03	$45.49	$63.14