Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,783.00 / $7,542.00	Facility		$652.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $114.71 / $190.96	Professional		$99.16	$114.71	$190.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,960.00 / $2,993.12 / $4,144.00	Facility		$1,960.00	$2,993.12	$4,144.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $133.24 / $181.57	Professional		$105.27	$133.24	$181.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $97.60 / $101.14	Facility		$80.00	$97.60	$101.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $130.16	Facility		$130.16	$130.16	$130.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $161.00 / $243.20	Professional		$118.83	$161.00	$243.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $11,500.00 / $16,394.00	Facility		$461.36	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $974.70 / $2,987.00 / $2,987.00	Professional		$974.70	$2,987.00	$2,987.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.31 / $148.72 / $245.03	Facility		$109.31	$148.72	$245.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $167.40 / $207.58	Professional		$139.50	$167.40	$207.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $188.26 / $412.03	Professional		$117.00	$188.26	$412.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $150.74 / $255.65	Facility		$110.05	$150.74	$255.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $165.00 / $246.27	Professional		$118.83	$165.00	$246.27
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 $93.99 / $127.71 / $200.51	Professional		$93.99	$127.71	$200.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $108.86 / $149.78	Professional		$95.25	$108.86	$149.78