Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $3,017.00 / $8,450.00	Facility		$521.00	$3,017.00	$8,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $133.74 / $200.15	Professional		$119.10	$133.74	$200.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.00 / $3,354.31 / $5,705.85	Facility		$2,023.00	$3,354.31	$5,705.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $143.53 / $208.98	Professional		$109.04	$143.53	$208.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.21 / $114.21 / $119.71	Facility		$114.21	$114.21	$119.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $5,980.00 / $9,352.00	Facility		$147.79	$5,980.00	$9,352.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.51 / $178.68 / $282.94	Professional		$134.51	$178.68	$282.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $610.79	Facility		$55.00	$55.00	$610.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $907.20 / $926.16 / $1,114.58	Professional		$907.20	$926.16	$1,114.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $152.97 / $289.02	Facility		$122.11	$152.97	$289.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $192.52 / $226.49	Professional		$144.69	$192.52	$226.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $256.70 / $322.30	Professional		$224.60	$256.70	$322.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $155.02 / $296.39	Facility		$122.22	$155.02	$296.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $187.24 / $324.24	Professional		$138.07	$187.24	$324.24
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $146.90 / $233.75	Professional		$110.00	$146.90	$233.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $124.68 / $168.01	Professional		$107.39	$124.68	$168.01