Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.05 / $2,124.00 / $7,316.00	Facility		$182.05	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $128.08 / $206.15	Professional		$59.55	$128.08	$206.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.00 / $2,673.00 / $4,063.00	Facility		$1,018.00	$2,673.00	$4,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $145.11 / $241.25	Professional		$58.29	$145.11	$241.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $51.60 / $149.15	Facility		$51.60	$51.60	$149.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $129.50 / $258.00	Professional		$66.63	$129.50	$258.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $610.19 / $701.16	Facility		$55.00	$610.19	$701.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $701.16 / $1,903.64 / $3,063.36	Professional		$701.16	$1,903.64	$3,063.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.64 / $143.30 / $263.14	Facility		$59.64	$143.30	$263.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $182.35 / $271.33	Professional		$76.95	$182.35	$271.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $270.39 / $428.90	Professional		$5.00	$270.39	$428.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.64 / $145.41 / $289.26	Facility		$59.64	$145.41	$289.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $148.05 / $331.43	Professional		$69.75	$148.05	$331.43
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $158.53 / $273.92	Professional		$118.82	$158.53	$273.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $140.04 / $197.86	Professional		$124.50	$140.04	$197.86