Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.63 / $2,128.00 / $7,513.00	Facility		$318.63	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $208.31 / $358.69	Professional		$91.67	$208.31	$358.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.48 / $1,274.92 / $2,752.85	Facility		$706.48	$1,274.92	$2,752.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $206.00 / $342.93	Professional		$88.36	$206.00	$342.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.75 / $1,277.77 / $1,277.77	Facility		$91.75	$1,277.77	$1,277.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.85 / $180.85 / $180.85	Facility		$180.85	$180.85	$180.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $208.81 / $404.69	Professional		$113.45	$208.81	$404.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $525.35	Facility		$55.00	$55.00	$525.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $991.27 / $1,902.96 / $2,214.75	Professional		$991.27	$1,902.96	$2,214.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $220.94 / $404.64	Facility		$100.82	$220.94	$404.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $294.24 / $460.55	Professional		$134.15	$294.24	$460.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $259.50 / $388.80	Professional		$131.60	$259.50	$388.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $222.72 / $428.93	Facility		$100.91	$222.72	$428.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $220.94 / $454.48	Professional		$115.21	$220.94	$454.48
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $255.15 / $421.20	Professional		$190.83	$255.15	$421.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.37 / $245.10 / $347.03	Professional		$218.37	$245.10	$347.03