Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,128.00 / $6,762.00	Facility		$494.00	$2,128.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $113.23 / $180.51	Professional		$99.42	$113.23	$180.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.30 / $445.01 / $984.26	Facility		$251.30	$445.01	$984.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $132.75 / $255.00	Professional		$92.82	$132.75	$255.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $97.08 / $97.08	Facility		$97.08	$97.08	$97.08
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 $126.80 / $173.72 / $285.27	Professional		$126.80	$173.72	$285.27
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 $1,131.01 / $1,131.01 / $1,131.01	Professional		$1,131.01	$1,131.01	$1,131.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.92 / $169.47 / $282.19	Facility		$110.92	$169.47	$282.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $171.24 / $201.46	Professional		$123.11	$171.24	$201.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.92 / $169.73 / $285.00	Facility		$110.92	$169.73	$285.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $173.72 / $285.27	Professional		$127.12	$173.72	$285.27
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 $102.78 / $141.33 / $223.03	Professional		$102.78	$141.33	$223.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $109.40 / $150.86	Professional		$95.52	$109.40	$150.86