Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,513.00	Facility		$488.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $210.93 / $333.89	Professional		$160.68	$210.93	$333.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,390.77 / $4,721.85 / $9,349.91	Facility		$2,390.77	$4,721.85	$9,349.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.80 / $212.72 / $291.33	Professional		$171.80	$212.72	$291.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $158.01 / $158.01 / $164.77	Facility		$158.01	$158.01	$164.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $237.62 / $364.67	Professional		$185.90	$237.62	$364.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $12,000.00 / $12,000.00	Facility		$9,001.70	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.08 / $1,447.08 / $1,579.50	Professional		$1,447.08	$1,447.08	$1,579.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.74 / $232.43 / $364.39	Facility		$182.74	$232.43	$364.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $278.51 / $5,306.00	Professional		$180.48	$278.51	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $194.68 / $216.58	Professional		$172.95	$194.68	$216.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.74 / $235.26 / $425.71	Facility		$182.74	$235.26	$425.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $246.92 / $363.90	Professional		$185.90	$246.92	$363.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $203.02 / $305.68	Professional		$154.69	$203.02	$305.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.46 / $180.48 / $251.65	Professional		$158.46	$180.48	$251.65