Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,511.00 / $12,281.00	Facility		$872.00	$3,511.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.52 / $225.62 / $344.39	Professional		$186.52	$225.62	$344.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.78 / $406.34 / $2,095.94	Facility		$235.78	$406.34	$2,095.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $268.04 / $389.27	Professional		$195.75	$268.04	$389.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $210.29 / $210.29 / $210.29	Facility		$210.29	$210.29	$210.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.07 / $316.79 / $476.96	Professional		$232.07	$316.79	$476.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,777.50	Facility		$55.00	$55.00	$4,777.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,473.00 / $2,473.00 / $2,473.00	Professional		$2,473.00	$2,473.00	$2,473.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.87 / $301.05 / $671.34	Facility		$227.87	$301.05	$671.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.61 / $358.31 / $421.54	Professional		$257.61	$358.31	$421.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $367.70 / $367.70 / $367.70	Professional		$367.70	$367.70	$367.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.87 / $312.42 / $671.34	Facility		$227.87	$312.42	$671.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $321.93 / $485.76	Professional		$232.78	$321.93	$485.76
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $266.39 / $431.31	Professional		$202.29	$266.39	$431.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.87 / $228.09 / $312.04	Professional		$199.87	$228.09	$312.04