Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $2,128.00 / $7,316.00	Facility		$466.00	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.06 / $177.17 / $293.08	Professional		$152.06	$177.17	$293.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,917.99 / $4,063.00	Facility		$1,100.00	$1,917.99	$4,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $198.33 / $282.44	Professional		$162.63	$198.33	$282.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $143.02 / $144.47	Facility		$80.00	$143.02	$144.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $202.08	Facility		$202.08	$202.08	$202.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $250.71 / $380.34	Professional		$183.74	$250.71	$380.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $460.87 / $11,500.00 / $12,000.00	Facility		$460.87	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.00 / $1,665.00 / $1,665.00	Professional		$1,665.00	$1,665.00	$1,665.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.78 / $232.80 / $377.06	Facility		$169.78	$232.80	$377.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $258.62 / $320.68	Professional		$215.51	$258.62	$320.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.10 / $257.10 / $257.10	Professional		$257.10	$257.10	$257.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.71 / $233.62 / $385.20	Facility		$171.71	$233.62	$385.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $257.61 / $380.28	Professional		$183.74	$257.61	$380.28
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $194.80 / $305.64	Professional		$143.91	$194.80	$305.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.15 / $168.34 / $233.28	Professional		$147.15	$168.34	$233.28