Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.92 / $137.69 / $1,226.26	Facility		$94.92	$137.69	$1,226.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $130.12 / $298.64	Professional		$98.76	$130.12	$298.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,715.85 / $6,983.63 / $11,833.37	Facility		$2,715.85	$6,983.63	$11,833.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $122.50 / $191.62	Professional		$66.31	$122.50	$191.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $137.01 / $137.01 / $153.08	Facility		$137.01	$137.01	$153.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.60 / $643.71 / $9,791.54	Facility		$258.60	$643.71	$9,791.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $205.18 / $591.29	Professional		$118.41	$205.18	$591.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $911.68 / $1,343.57 / $1,343.57	Facility		$911.68	$1,343.57	$1,343.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $3,960.00	Professional		$3,960.00	$3,960.00	$3,960.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.81 / $226.75 / $738.79	Facility		$122.81	$226.75	$738.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $235.90 / $335.79	Professional		$178.71	$235.90	$335.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.90 / $390.60 / $940.80	Professional		$348.90	$390.60	$940.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.90 / $264.04 / $819.68	Facility		$122.90	$264.04	$819.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $217.51 / $474.40	Professional		$124.57	$217.51	$474.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,861.66 / $5,437.15 / $6,578.17	Facility		$2,861.66	$5,437.15	$6,578.17
United Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $184.69 / $398.23	Professional		$136.51	$184.69	$398.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $137.69 / $193.48	Professional		$122.02	$137.69	$193.48