Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $2,500.00 / $7,495.00	Facility		$162.97	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $106.88 / $149.93	Professional		$72.79	$106.88	$149.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,409.14 / $6,279.16 / $11,447.73	Facility		$2,409.14	$6,279.16	$11,447.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $118.22 / $180.27	Professional		$73.73	$118.22	$180.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,194.69 / $3,194.69 / $3,194.69	Facility		$3,194.69	$3,194.69	$3,194.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $130.31 / $203.62	Professional		$85.63	$130.31	$203.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.38 / $16,394.00 / $16,394.00	Facility		$380.38	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $922.00 / $922.00 / $1,042.43	Professional		$922.00	$922.00	$1,042.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.56 / $123.22 / $206.64	Facility		$82.56	$123.22	$206.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $142.59 / $216.02	Professional		$99.66	$142.59	$216.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $159.10 / $159.10	Professional		$159.10	$159.10	$159.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.56 / $124.39 / $211.24	Facility		$82.56	$124.39	$211.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $134.37 / $228.82	Professional		$86.88	$134.37	$228.82
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 $79.11 / $114.40 / $184.53	Professional		$79.11	$114.40	$184.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $115.98 / $161.99	Professional		$102.42	$115.98	$161.99