Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,640.00 / $7,495.00	Facility		$652.00	$2,640.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $134.85 / $204.14	Professional		$115.22	$134.85	$204.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,036.37 / $3,847.07 / $7,494.30	Facility		$2,036.37	$3,847.07	$7,494.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $150.38 / $209.52	Professional		$118.00	$150.38	$209.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $113.40 / $113.40	Facility		$113.40	$113.40	$113.40
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 $131.78 / $181.96 / $277.74	Professional		$131.78	$181.96	$277.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $16,394.00 / $16,394.00	Facility		$9,496.40	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.90 / $1,068.90 / $1,099.58	Professional		$1,068.90	$1,068.90	$1,099.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.29 / $173.16 / $291.10	Facility		$126.29	$173.16	$291.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $194.00 / $228.24	Professional		$164.84	$194.00	$228.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.30 / $184.30 / $184.30	Professional		$184.30	$184.30	$184.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.34 / $179.62 / $331.23	Facility		$126.34	$179.62	$331.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $183.83 / $297.58	Professional		$132.91	$183.83	$297.58
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 $110.00 / $149.86 / $233.75	Professional		$110.00	$149.86	$233.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.22 / $123.72 / $170.56	Professional		$108.22	$123.72	$170.56