Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.27 / $2,128.00 / $7,316.00	Facility		$280.27	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $191.16 / $303.05	Professional		$130.72	$191.16	$303.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,728.98 / $3,133.88 / $6,126.24	Facility		$1,728.98	$3,133.88	$6,126.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $181.62 / $284.41	Professional		$119.43	$181.62	$284.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.17 / $111.17 / $198.81	Facility		$111.17	$111.17	$198.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $194.25 / $299.26	Professional		$133.35	$194.25	$299.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $898.26 / $12,000.00 / $12,000.00	Facility		$898.26	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $953.68 / $1,409.36 / $1,624.43	Professional		$953.68	$1,409.36	$1,624.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $190.13 / $289.39	Facility		$124.06	$190.13	$289.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $215.56 / $320.58	Professional		$139.47	$215.56	$320.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $181.08 / $189.22	Professional		$110.61	$181.08	$189.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $191.48 / $327.26	Facility		$124.06	$191.48	$327.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $201.01 / $326.51	Professional		$136.09	$201.01	$326.51
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,509.00	Facility		$597.00	$2,054.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $197.32 / $283.04	Professional		$146.77	$197.32	$283.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $181.08 / $255.92	Professional		$160.94	$181.08	$255.92