Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,317.00 / $7,542.00	Facility		$521.00	$2,317.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $179.83 / $292.82	Professional		$161.50	$179.83	$292.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $67.84 / $67.84	Professional		$57.66	$67.84	$67.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $213.02	Facility		$213.02	$213.02	$213.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $264.83 / $888.71	Professional		$211.88	$264.83	$888.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $423.04 / $2,710.90 / $2,710.90	Facility		$423.04	$2,710.90	$2,710.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.16 / $1,385.12 / $1,616.18	Professional		$1,348.16	$1,385.12	$1,616.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $174.62 / $306.67	Facility		$92.65	$174.62	$306.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $178.67 / $4,336.00	Professional		$86.10	$178.67	$4,336.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $199.50 / $199.50	Professional		$199.50	$199.50	$199.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $179.83 / $341.72	Facility		$93.33	$179.83	$341.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $158.47 / $317.61	Professional		$87.80	$158.47	$317.61
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $187.97 / $302.07	Professional		$140.97	$187.97	$302.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.27 / $175.24 / $233.29	Professional		$165.27	$175.24	$233.29