Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $364.80 / $1,461.48	Facility		$180.00	$364.80	$1,461.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $198.00 / $345.00	Professional		$108.17	$198.00	$345.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $849.00 / $1,581.00	Facility		$327.00	$849.00	$1,581.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $159.00 / $300.00	Professional		$5.00	$159.00	$300.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $300.00 / $300.00	Facility		$80.00	$300.00	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $542.10 / $1,277.08	Facility		$60.45	$542.10	$1,277.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $225.03 / $463.11	Professional		$133.58	$225.03	$463.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $506.11 / $1,425.00 / $1,425.00	Facility		$506.11	$1,425.00	$1,425.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,250.00	Professional		$1,500.00	$1,500.00	$2,250.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.40 / $300.00 / $450.00	Facility		$176.40	$300.00	$450.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $375.00	Professional		$300.00	$300.00	$375.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $360.00 / $675.00	Professional		$195.00	$360.00	$675.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $315.00 / $905.85	Facility		$103.37	$315.00	$905.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $330.00 / $463.11	Professional		$92.42	$330.00	$463.11
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $126.00 / $300.00	Facility		$108.00	$126.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $126.00 / $180.00	Professional		$36.79	$126.00	$180.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $300.00 / $405.00	Professional		$117.00	$300.00	$405.00