Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,166.00 / $7,513.00	Facility		$488.00	$2,166.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $167.95 / $243.78	Professional		$147.69	$167.95	$243.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $199.86 / $272.35	Professional		$157.90	$199.86	$272.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.60 / $123.60 / $144.03	Facility		$123.60	$123.60	$144.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $238.47 / $335.14	Professional		$176.12	$238.47	$335.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $826.36	Facility		$55.00	$55.00	$826.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.83 / $1,257.76 / $1,434.98	Professional		$1,219.83	$1,257.76	$1,434.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.65 / $186.64 / $343.82	Facility		$150.65	$186.64	$343.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.82 / $252.89 / $297.52	Professional		$181.82	$252.89	$297.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $256.45 / $373.88	Professional		$161.21	$256.45	$373.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.65 / $188.29 / $419.23	Facility		$150.65	$188.29	$419.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $241.93 / $362.01	Professional		$176.12	$241.93	$362.01
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $186.93 / $312.77	Professional		$138.91	$186.93	$312.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $161.35 / $222.22	Professional		$141.07	$161.35	$222.22