Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,682.00 / $10,893.00	Facility		$828.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $61.56	Professional		$45.60	$45.60	$61.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $6,055.00 / $9,037.00	Facility		$2,400.00	$6,055.00	$9,037.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $78.40 / $107.61	Professional		$59.18	$78.40	$107.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $292.17 / $317.35	Facility		$154.60	$292.17	$317.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.39 / $442.39 / $515.40	Professional		$442.39	$442.39	$515.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $69.26 / $129.43	Facility		$60.16	$69.26	$129.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.69 / $67.69 / $71.56	Professional		$67.69	$67.69	$71.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $69.69 / $130.26	Facility		$60.16	$69.69	$130.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $1,800,000.00 / $2,400,000.00	Professional		$61.54	$1,800,000.00	$2,400,000.00
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 $56.48 / $78.72 / $124.81	Professional		$56.48	$78.72	$124.81