Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,513.00	Facility		$488.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $107.48 / $161.57	Professional		$95.72	$107.48	$161.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,578.40 / $3,117.76 / $7,711.05	Facility		$1,578.40	$3,117.76	$7,711.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $119.61 / $166.64	Professional		$94.49	$119.61	$166.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.75 / $95.75 / $99.08	Facility		$95.75	$95.75	$99.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $1,818.57 / $2,361.01	Facility		$1,322.00	$1,818.57	$2,361.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $142.55 / $239.00	Professional		$102.46	$142.55	$239.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $12,000.00	Facility		$7,929.30	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $733.84 / $746.56 / $898.88	Professional		$733.84	$746.56	$898.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.02 / $116.89 / $228.45	Facility		$89.02	$116.89	$228.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $155.40 / $188.92	Professional		$116.81	$155.40	$188.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $120.36 / $258.80	Professional		$98.10	$120.36	$258.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $118.80 / $263.44	Facility		$90.08	$118.80	$263.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $150.63 / $274.94	Professional		$108.11	$150.63	$274.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $114.06 / $177.62	Professional		$85.68	$114.06	$177.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $100.72 / $135.91	Professional		$86.69	$100.72	$135.91