Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.19 / $2,550.00 / $7,316.00	Facility		$304.19	$2,550.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $177.54 / $285.18	Professional		$133.93	$177.54	$285.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,073.42 / $3,922.02 / $7,975.58	Facility		$2,073.42	$3,922.02	$7,975.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $199.55 / $303.11	Professional		$141.57	$199.55	$303.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $127.60 / $127.60	Facility		$127.60	$127.60	$127.60
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 $150.84 / $213.23 / $319.08	Professional		$150.84	$213.23	$319.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.62 / $16,394.00 / $16,394.00	Facility		$741.62	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.00 / $1,882.25 / $1,882.25	Professional		$1,447.00	$1,882.25	$1,882.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.71 / $197.90 / $392.61	Facility		$145.71	$197.90	$392.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.29 / $256.93 / $355.75	Professional		$186.29	$256.93	$355.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.20 / $243.20 / $243.20	Professional		$243.20	$243.20	$243.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.71 / $199.63 / $481.37	Facility		$145.71	$199.63	$481.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $217.51 / $389.81	Professional		$151.99	$217.51	$389.81
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 $126.36 / $182.75 / $303.55	Professional		$126.36	$182.75	$303.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $190.12 / $267.14	Professional		$168.68	$190.12	$267.14