Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,221.00 / $7,316.00	Facility		$488.00	$2,221.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $78.89 / $125.90	Professional		$69.09	$78.89	$125.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $88.35 / $128.63	Professional		$67.12	$88.35	$128.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $68.23	Facility		$68.23	$68.23	$68.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.49 / $227.49 / $227.49	Facility		$227.49	$227.49	$227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $122.73 / $220.90	Professional		$86.54	$122.73	$220.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $12,000.00 / $12,000.00	Facility		$2,000.00	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $675.29 / $703.28 / $726.48	Professional		$675.29	$703.28	$726.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $124.39 / $198.52	Facility		$76.30	$124.39	$198.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $119.28 / $140.33	Professional		$85.76	$119.28	$140.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $166.80 / $166.80 / $166.80	Professional		$166.80	$166.80	$166.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.91 / $129.94 / $204.71	Facility		$76.91	$129.94	$204.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $124.36 / $211.15	Professional		$87.60	$124.36	$211.15
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $101.27 / $161.33	Professional		$73.41	$101.27	$161.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $76.30 / $105.39	Professional		$66.54	$76.30	$105.39