Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.80 / $3,570.00 / $10,893.00	Facility		$170.80	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $117.20 / $176.14	Professional		$106.38	$117.20	$176.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $131.30 / $182.92	Professional		$103.73	$131.30	$182.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $101.61 / $106.47	Facility		$101.61	$101.61	$106.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $2,277.00 / $4,619.00	Facility		$129.34	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $162.49 / $253.56	Professional		$119.27	$162.49	$253.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $524.83	Facility		$55.00	$55.00	$524.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $787.60 / $808.00 / $963.30	Professional		$787.60	$808.00	$963.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.73 / $137.60 / $257.47	Facility		$106.73	$137.60	$257.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $166.79 / $196.22	Professional		$125.36	$166.79	$196.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.11 / $122.98 / $221.30	Professional		$101.11	$122.98	$221.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.75 / $139.61 / $263.55	Facility		$106.75	$139.61	$263.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $172.88 / $293.27	Professional		$122.88	$172.88	$293.27
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $133.78 / $221.68	Professional		$97.30	$133.78	$221.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $108.04 / $145.52	Professional		$93.04	$108.04	$145.52