Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,316.00	Facility		$488.00	$2,181.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $203.84 / $318.39	Professional		$177.15	$203.84	$318.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,045.49 / $3,822.09 / $7,537.78	Facility		$2,045.49	$3,822.09	$7,537.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $222.16 / $329.39	Professional		$165.80	$222.16	$329.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.37 / $174.37 / $174.37	Facility		$174.37	$174.37	$174.37
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 $203.05 / $270.85 / $416.00	Professional		$203.05	$270.85	$416.00
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 $2,635.00 / $2,635.00 / $2,635.00	Professional		$2,635.00	$2,635.00	$2,635.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.01 / $254.44 / $417.01	Facility		$196.01	$254.44	$417.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $301.39 / $354.58	Professional		$256.08	$301.39	$354.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $290.10 / $290.10 / $290.10	Professional		$290.10	$290.10	$290.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.01 / $254.70 / $522.58	Facility		$196.01	$254.70	$522.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $277.24 / $433.47	Professional		$203.05	$277.24	$433.47
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 $159.41 / $215.62 / $349.10	Professional		$159.41	$215.62	$349.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $191.35 / $265.49	Professional		$168.13	$191.35	$265.49