Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $140.47 / $1,598.94	Facility		$109.16	$140.47	$1,598.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $152.62 / $340.18	Professional		$116.38	$152.62	$340.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,566.23 / $7,427.03 / $12,193.63	Facility		$2,566.23	$7,427.03	$12,193.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $160.05 / $160.05 / $171.62	Facility		$160.05	$160.05	$171.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.24 / $851.58 / $9,791.54	Facility		$340.24	$851.58	$9,791.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $232.67 / $601.77	Professional		$137.30	$232.67	$601.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $639.15 / $1,600.36 / $2,025.75	Facility		$639.15	$1,600.36	$2,025.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,139.84 / $3,234.04 / $3,234.04	Professional		$3,139.84	$3,234.04	$3,234.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.79 / $252.36 / $761.63	Facility		$139.79	$252.36	$761.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.44 / $276.45 / $670.20	Professional		$209.44	$276.45	$670.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $391.40 / $450.00 / $926.80	Professional		$391.40	$450.00	$926.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $299.88 / $822.56	Facility		$140.47	$299.88	$822.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $248.86 / $513.75	Professional		$142.02	$248.86	$513.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,787.13 / $4,977.03 / $6,565.45	Facility		$4,787.13	$4,977.03	$6,565.45
United Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $204.84 / $421.45	Professional		$152.46	$204.84	$421.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $160.63 / $227.56	Professional		$143.00	$160.63	$227.56