Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,213.00 / $10,836.00	Facility		$727.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.83 / $236.04 / $284.12	Professional		$205.83	$236.04	$284.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.91 / $214.60 / $365.00	Professional		$189.91	$214.60	$365.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.24 / $175.24 / $175.24	Facility		$175.24	$175.24	$175.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,903.41 / $2,903.41 / $2,903.41	Facility		$2,903.41	$2,903.41	$2,903.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.78 / $285.75 / $447.32	Professional		$217.78	$285.75	$447.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,472.55 / $26,542.00 / $26,542.00	Facility		$11,472.55	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,955.47 / $2,955.47 / $2,955.47	Professional		$2,955.47	$2,955.47	$2,955.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.63 / $284.33 / $601.37	Facility		$199.63	$284.33	$601.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.11 / $277.05 / $332.46	Professional		$240.11	$277.05	$332.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.54 / $215.54 / $228.56	Professional		$194.54	$215.54	$228.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.63 / $289.79 / $713.00	Facility		$199.63	$289.79	$713.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.78 / $291.83 / $461.97	Professional		$217.78	$291.83	$461.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,476.00	Facility		$1,634.00	$4,345.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $233.92 / $370.36	Professional		$176.41	$233.92	$370.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $181.48 / $250.13	Professional		$157.63	$181.48	$250.13