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 $107.97 / $121.33 / $184.34	Professional		$107.97	$121.33	$184.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,442.20 / $6,884.40 / $14,812.99	Facility		$3,442.20	$6,884.40	$14,812.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $135.19 / $188.35	Professional		$106.81	$135.19	$188.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $107.23 / $111.00	Facility		$107.23	$107.23	$111.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $5,139.74 / $6,090.60	Facility		$1,322.00	$5,139.74	$6,090.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $161.47 / $262.56	Professional		$116.50	$161.47	$262.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $12,000.00 / $24,066.40	Facility		$11,500.00	$12,000.00	$24,066.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $828.80 / $842.96 / $1,017.08	Professional		$828.80	$842.96	$1,017.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.78 / $136.12 / $251.34	Facility		$108.78	$136.12	$251.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $175.69 / $213.58	Professional		$132.05	$175.69	$213.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $134.66 / $292.10	Professional		$110.80	$134.66	$292.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $138.49 / $264.33	Facility		$110.16	$138.49	$264.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $170.74 / $303.27	Professional		$122.47	$170.74	$303.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,688.00 / $4,964.00 / $10,600.00	Facility		$1,688.00	$4,964.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $129.22 / $202.80	Professional		$97.92	$129.22	$202.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $113.85 / $153.60	Professional		$98.00	$113.85	$153.60