Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.51 / $3,504.00 / $12,040.00	Facility		$562.51	$3,504.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $175.09 / $757.77	Professional		$82.72	$175.09	$757.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $204.72 / $942.59	Professional		$77.26	$204.72	$942.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.26 / $85.34 / $687.20	Facility		$75.26	$85.34	$687.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $97.80 / $99.86	Facility		$85.48	$97.80	$99.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $211.52 / $846.97	Professional		$95.50	$211.52	$846.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $411.75 / $1,203.04 / $1,203.04	Facility		$411.75	$1,203.04	$1,203.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.52 / $4,646.85 / $5,571.38	Professional		$2,472.52	$4,646.85	$5,571.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.24 / $195.31 / $757.77	Facility		$85.24	$195.31	$757.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $489.80 / $1,190.05	Professional		$112.17	$489.80	$1,190.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $516.46 / $1,226.31	Professional		$87.03	$516.46	$1,226.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $196.82 / $758.75	Facility		$85.25	$196.82	$758.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $247.48 / $1,244.02	Professional		$99.93	$247.48	$1,244.02
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,923.00	Facility		$432.00	$2,064.00	$8,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $400.03 / $770.34	Professional		$187.08	$400.03	$770.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $546.05 / $638.78 / $869.24	Professional		$546.05	$638.78	$869.24