Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.10 / $3,445.00 / $10,893.00	Facility		$240.10	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $257.83 / $402.03	Professional		$152.85	$257.83	$402.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $108.80 / $413.59	Facility		$63.53	$108.80	$413.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $155.79 / $157.62	Facility		$80.00	$155.79	$157.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $284.76 / $284.76	Facility		$284.76	$284.76	$284.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.63 / $301.60 / $488.37	Professional		$181.63	$301.60	$488.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $859.37	Facility		$55.00	$55.00	$859.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.35 / $2,180.88 / $2,594.25	Professional		$1,219.35	$2,180.88	$2,594.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $274.73 / $421.04	Facility		$165.85	$274.73	$421.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $309.24 / $529.47	Professional		$216.14	$309.24	$529.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $234.80 / $234.80	Professional		$234.80	$234.80	$234.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $275.12 / $428.71	Facility		$165.85	$275.12	$428.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.09 / $317.98 / $526.66	Professional		$182.09	$317.98	$526.66
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $289.08 / $448.97	Professional		$217.25	$289.08	$448.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $283.92 / $401.11	Professional		$253.16	$283.92	$401.11