Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.08 / $3,102.00 / $10,546.00	Facility		$200.08	$3,102.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $143.34 / $194.02	Professional		$115.51	$143.34	$194.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,098.40 / $3,922.02 / $7,537.78	Facility		$2,098.40	$3,922.02	$7,537.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $165.29 / $248.03	Professional		$124.28	$165.29	$248.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.06 / $111.06 / $111.06	Facility		$111.06	$111.06	$111.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $2,403.30	Facility		$2,403.30	$2,403.30	$2,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $178.71 / $269.83	Professional		$130.04	$178.71	$269.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $648.09 / $26,542.00 / $26,542.00	Facility		$648.09	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $926.40 / $1,195.88 / $1,329.15	Professional		$926.40	$1,195.88	$1,329.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.65 / $162.66 / $307.61	Facility		$124.65	$162.66	$307.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $206.55 / $275.39	Professional		$162.72	$206.55	$275.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $159.90 / $159.90	Professional		$159.90	$159.90	$159.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.78 / $164.85 / $344.78	Facility		$124.78	$164.85	$344.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.77 / $183.70 / $296.31	Professional		$131.77	$183.70	$296.31
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 $108.50 / $149.41 / $242.24	Professional		$108.50	$149.41	$242.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $147.54 / $206.71	Professional		$130.58	$147.54	$206.71