Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.26 / $2,500.00 / $7,495.00	Facility		$208.26	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $153.94 / $198.93	Professional		$102.63	$153.94	$198.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $150.37 / $250.34	Professional		$100.96	$150.37	$250.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $102.37 / $102.37 / $102.37	Facility		$102.37	$102.37	$102.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $185.93 / $296.50	Professional		$121.87	$185.93	$296.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $16,394.00 / $16,394.00	Facility		$569.29	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $818.32 / $1,379.40 / $1,633.16	Professional		$818.32	$1,379.40	$1,633.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.79 / $174.33 / $335.53	Facility		$109.79	$174.33	$335.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $203.95 / $287.05	Professional		$142.55	$203.95	$287.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.80 / $316.80 / $316.80	Professional		$316.80	$316.80	$316.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.79 / $175.42 / $344.10	Facility		$109.79	$175.42	$344.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $188.75 / $308.55	Professional		$123.62	$188.75	$308.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $174.43 / $287.13	Professional		$128.13	$174.43	$287.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $153.46 / $215.93	Professional		$136.10	$153.46	$215.93