Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $2,181.00 / $7,316.00	Facility		$487.00	$2,181.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $205.23 / $356.49	Professional		$178.50	$205.23	$356.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.00 / $3,822.09 / $7,494.30	Facility		$2,023.00	$3,822.09	$7,494.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.39 / $238.82 / $328.75	Professional		$187.39	$238.82	$328.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.30 / $177.30 / $177.30	Facility		$177.30	$177.30	$177.30
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 $204.50 / $268.64 / $406.49	Professional		$204.50	$268.64	$406.49
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 $1,466.88 / $1,514.32 / $1,725.45	Professional		$1,466.88	$1,514.32	$1,725.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.95 / $250.00 / $411.05	Facility		$191.95	$250.00	$411.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.47 / $303.87 / $357.50	Professional		$218.47	$303.87	$357.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $285.70 / $285.70	Professional		$285.70	$285.70	$285.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.35 / $250.85 / $483.38	Facility		$192.35	$250.85	$483.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $270.41 / $429.33	Professional		$204.50	$270.41	$429.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $4,063.00 / $8,759.00	Facility		$1,273.00	$4,063.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $213.28 / $344.29	Professional		$156.91	$213.28	$344.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $192.56 / $267.70	Professional		$169.51	$192.56	$267.70