Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.55 / $3,682.00 / $12,281.00	Facility		$323.55	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.02 / $203.46 / $347.67	Professional		$166.02	$203.46	$347.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.22 / $240.77 / $328.10	Professional		$190.22	$240.77	$328.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $183.41 / $195.51	Facility		$80.00	$183.41	$195.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $235.62	Facility		$235.62	$235.62	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $280.51 / $416.89	Professional		$203.81	$280.51	$416.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $5,000.00	Facility		$55.00	$1,300.00	$5,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,059.50 / $3,059.50 / $3,059.50	Professional		$3,059.50	$3,059.50	$3,059.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.99 / $257.35 / $467.46	Facility		$192.99	$257.35	$467.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.30 / $302.76 / $375.42	Professional		$252.30	$302.76	$375.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.60 / $344.66 / $745.39	Professional		$262.60	$344.66	$745.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.62 / $257.35 / $467.46	Facility		$194.62	$257.35	$467.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $287.85 / $424.88	Professional		$203.81	$287.85	$424.88
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.34 / $221.04 / $342.70	Professional		$164.34	$221.04	$342.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $196.09 / $267.25	Professional		$172.26	$196.09	$267.25