Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,553.00 / $12,941.00	Facility		$675.00	$3,553.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $71.18 / $91.38	Professional		$50.19	$71.18	$91.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $909.26 / $2,609.58 / $4,809.42	Facility		$909.26	$2,609.58	$4,809.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $53.64 / $95.35	Professional		$46.23	$53.64	$95.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.46 / $54.46 / $54.46	Facility		$54.46	$54.46	$54.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $824.51 / $18,328.00 / $20,473.00	Facility		$824.51	$18,328.00	$20,473.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $108.95 / $166.74	Professional		$83.33	$108.95	$166.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.80 / $4,144.64 / $4,222.58	Facility		$170.80	$4,144.64	$4,222.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $2,336.63 / $2,336.63	Professional		$1,846.00	$2,336.63	$2,336.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.26 / $102.31 / $193.55	Facility		$59.26	$102.31	$193.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $71.87 / $22,596.00	Professional		$54.46	$71.87	$22,596.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $78.51 / $139.80	Professional		$47.99	$78.51	$139.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.26 / $104.33 / $271.88	Facility		$59.26	$104.33	$271.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $111.05 / $206.96	Professional		$83.33	$111.05	$206.96
United Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $2,836.00 / $29,288.00	Facility		$722.00	$2,836.00	$29,288.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $92.48 / $146.25	Professional		$68.59	$92.48	$146.25