Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.27 / $2,128.00 / $7,513.00	Facility		$249.27	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $177.25 / $249.27	Professional		$145.88	$177.25	$249.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,049.51 / $3,049.51 / $3,049.51	Facility		$3,049.51	$3,049.51	$3,049.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.35 / $186.79 / $289.45	Professional		$146.35	$186.79	$289.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $141.52 / $141.52 / $141.52	Facility		$141.52	$141.52	$141.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.63 / $943.63 / $943.63	Facility		$943.63	$943.63	$943.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $224.78 / $343.63	Professional		$169.24	$224.78	$343.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,102.38 / $12,000.00 / $12,000.00	Facility		$1,102.38	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.80 / $1,356.83 / $1,585.95	Professional		$1,160.80	$1,356.83	$1,585.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.07 / $196.88 / $365.63	Facility		$151.07	$196.88	$365.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $203.53 / $258.32 / $328.97	Professional		$203.53	$258.32	$328.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $205.00 / $205.00	Professional		$205.00	$205.00	$205.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.07 / $199.58 / $381.64	Facility		$151.07	$199.58	$381.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $227.72 / $374.05	Professional		$169.28	$227.72	$374.05
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $188.20 / $302.47	Professional		$135.07	$188.20	$302.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $175.83 / $247.24	Professional		$155.97	$175.83	$247.24