Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.05 / $2,124.00 / $6,762.00	Facility		$192.05	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $122.91 / $196.77	Professional		$49.10	$122.91	$196.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $140.03 / $228.65	Professional		$46.10	$140.03	$228.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $43.86 / $43.86	Facility		$43.86	$43.86	$43.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $156.00 / $156.00	Facility		$156.00	$156.00	$156.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $145.37 / $234.59	Professional		$56.94	$145.37	$234.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $288.05	Facility		$55.00	$55.00	$288.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $567.20 / $1,081.92 / $1,266.23	Professional		$567.20	$1,081.92	$1,266.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $139.37 / $228.80	Facility		$52.03	$139.37	$228.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $160.47 / $262.58	Professional		$63.92	$160.47	$262.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.10 / $163.10 / $163.10	Professional		$163.10	$163.10	$163.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $139.37 / $241.77	Facility		$52.03	$139.37	$241.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $148.38 / $265.19	Professional		$58.22	$148.38	$265.19
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $153.85 / $249.08	Professional		$109.89	$153.85	$249.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $139.63 / $197.76	Professional		$124.50	$139.63	$197.76