Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.44 / $2,500.00 / $7,495.00	Facility		$228.44	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $165.07 / $250.10	Professional		$129.58	$165.07	$250.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,045.49 / $3,847.07 / $7,537.78	Facility		$2,045.49	$3,847.07	$7,537.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.74 / $176.84 / $265.58	Professional		$135.74	$176.84	$265.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.72 / $131.72 / $131.72	Facility		$131.72	$131.72	$131.72
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 $147.69 / $197.98 / $304.05	Professional		$147.69	$197.98	$304.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $748.55 / $16,394.00 / $16,394.00	Facility		$748.55	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.00 / $1,555.00 / $1,555.00	Professional		$1,555.00	$1,555.00	$1,555.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $183.88 / $319.51	Facility		$141.24	$183.88	$319.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $235.90 / $308.00	Professional		$185.86	$235.90	$308.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $210.60 / $210.60	Professional		$210.60	$210.60	$210.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $185.32 / $343.04	Facility		$141.24	$185.32	$343.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $204.03 / $337.78	Professional		$148.13	$204.03	$337.78
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 $117.78 / $163.50 / $275.89	Professional		$117.78	$163.50	$275.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $164.70 / $231.34	Professional		$146.04	$164.70	$231.34