Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $262.80 / $736.50	Facility		$100.50	$262.80	$736.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $105.00 / $180.00	Professional		$84.00	$105.00	$180.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $5.50 / $100.50	Professional		$4.67	$5.50	$100.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $150.00 / $150.00	Facility		$80.00	$150.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.34 / $352.04 / $668.84	Facility		$156.34	$352.04	$668.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $142.61 / $235.91	Professional		$70.41	$142.61	$235.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $291.99 / $712.50 / $712.50	Facility		$291.99	$712.50	$712.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,125.00	Professional		$750.00	$750.00	$1,125.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $150.00 / $240.00	Facility		$94.50	$150.00	$240.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $150.00 / $187.50	Professional		$142.50	$150.00	$187.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $180.00 / $337.50	Professional		$97.50	$180.00	$337.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $183.98 / $629.10	Facility		$105.00	$183.98	$629.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $172.50 / $262.50	Professional		$76.00	$172.50	$262.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $90.00	Professional		$63.00	$63.00	$90.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $150.00 / $202.50	Professional		$58.50	$150.00	$202.50