Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $3,060.00 / $9,961.00	Facility		$651.00	$3,060.00	$9,961.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,833.75 / $2,448.96 / $3,664.85	Facility	50	$1,833.75	$2,448.96	$3,664.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $148.28 / $236.58	Professional		$132.22	$148.28	$236.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.15 / $4,059.90 / $7,674.52	Facility		$1,979.15	$4,059.90	$7,674.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.69 / $165.84 / $248.60	Professional		$124.69	$165.84	$248.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.16 / $134.16 / $134.16	Facility		$134.16	$134.16	$134.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.85 / $200.51 / $314.31	Professional		$154.85	$200.51	$314.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $26,542.00 / $26,542.00	Facility		$7,909.30	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.80 / $1,134.88 / $1,284.45	Professional		$1,102.80	$1,134.88	$1,284.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $197.05 / $322.43	Facility		$145.41	$197.05	$322.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $227.16 / $267.25	Professional		$193.01	$227.16	$267.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.90 / $217.90 / $217.90	Professional		$217.90	$217.90	$217.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $199.84 / $384.80	Facility		$145.83	$199.84	$384.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $202.96 / $321.19	Professional		$156.07	$202.96	$321.19
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,193.00 / $4,739.00	Facility		$564.00	$2,193.00	$4,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $165.77 / $258.30	Professional		$121.55	$165.77	$258.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $143.38 / $200.73	Professional		$126.71	$143.38	$200.73