Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $3,570.00 / $10,893.00	Facility		$169.90	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $115.36 / $175.21	Professional		$102.43	$115.36	$175.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $185.63 / $629.67	Facility		$111.62	$185.63	$629.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $130.13 / $181.30	Professional		$102.10	$130.13	$181.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.83 / $98.83 / $103.61	Facility		$98.83	$98.83	$103.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $2,277.00 / $4,619.00	Facility		$127.87	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $152.22 / $235.58	Professional		$115.67	$152.22	$235.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,250.75	Facility		$55.00	$55.00	$2,250.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,856.41 / $2,856.41 / $2,856.41	Professional		$2,856.41	$2,856.41	$2,856.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.88 / $139.88 / $257.02	Facility		$106.88	$139.88	$257.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $166.28 / $195.62	Professional		$124.98	$166.28	$195.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $194.50 / $277.50	Professional		$143.10	$194.50	$277.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $140.47 / $298.33	Facility		$107.23	$140.47	$298.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $161.58 / $280.56	Professional		$119.07	$161.58	$280.56
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 $89.31 / $124.67 / $201.72	Professional		$89.31	$124.67	$201.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $107.72 / $145.15	Professional		$92.76	$107.72	$145.15