Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.20 / $2,485.00 / $7,078.00	Facility		$274.20	$2,485.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $202.66 / $322.02	Professional		$159.74	$202.66	$322.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,065.91 / $3,872.05 / $7,494.30	Facility		$2,065.91	$3,872.05	$7,494.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $222.37 / $339.22	Professional		$159.58	$222.37	$339.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.31 / $150.31 / $150.31	Facility		$150.31	$150.31	$150.31
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 $182.78 / $251.94 / $380.55	Professional		$182.78	$251.94	$380.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $869.49 / $16,394.00 / $16,394.00	Facility		$869.49	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,741.00 / $2,741.00 / $2,741.00	Professional		$2,741.00	$2,741.00	$2,741.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.65 / $235.98 / $415.94	Facility		$174.65	$235.98	$415.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.92 / $289.30 / $400.57	Professional		$219.92	$289.30	$400.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.30 / $261.30 / $261.30	Professional		$261.30	$261.30	$261.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.65 / $236.87 / $461.33	Facility		$174.65	$236.87	$461.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.91 / $257.73 / $434.40	Professional		$182.91	$257.73	$434.40
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 $152.16 / $211.50 / $350.31	Professional		$152.16	$211.50	$350.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $214.53 / $300.58	Professional		$189.93	$214.53	$300.58