Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $10,893.00	Facility		$872.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $130.85 / $222.27	Professional		$103.06	$130.85	$222.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.80 / $3,822.09 / $7,494.30	Facility		$2,062.80	$3,822.09	$7,494.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $145.19 / $216.03	Professional		$108.36	$145.19	$216.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.54 / $117.54 / $117.54	Facility		$117.54	$117.54	$117.54
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 $128.81 / $178.02 / $268.06	Professional		$128.81	$178.02	$268.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $26,542.00 / $26,542.00	Facility		$9,496.40	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.90 / $1,068.90 / $1,158.23	Professional		$1,068.90	$1,068.90	$1,158.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.75 / $176.59 / $292.62	Facility		$125.75	$176.59	$292.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $198.46 / $233.48	Professional		$168.62	$198.46	$233.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $232.10 / $232.10	Professional		$232.10	$232.10	$232.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.75 / $178.88 / $319.31	Facility		$125.75	$178.88	$319.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.54 / $182.07 / $285.00	Professional		$129.54	$182.07	$285.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $151.26 / $236.20	Professional		$111.15	$151.26	$236.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $126.14 / $173.07	Professional		$110.70	$126.14	$173.07