Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.08 / $106.12 / $108.16	Facility		$104.08	$106.12	$108.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $108.16 / $175.51	Professional		$100.00	$108.16	$175.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.77 / $138.77 / $138.77	Professional		$138.77	$138.77	$138.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $233.06 / $233.06 / $233.06	Facility		$233.06	$233.06	$233.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $103.02	Professional		$103.02	$103.02	$103.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.63 / $1,262.20 / $1,430.27	Facility		$1,069.63	$1,262.20	$1,430.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,381.35 / $3,462.48 / $3,462.48	Professional		$3,381.35	$3,462.48	$3,462.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $161.25 / $233.06	Facility		$72.73	$161.25	$233.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $214.42 / $233.06	Professional		$72.73	$214.42	$233.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $256.37 / $524.38	Professional		$233.06	$256.37	$524.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $155.72 / $233.06	Facility		$72.73	$155.72	$233.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $187.78	Professional		$103.02	$103.02	$187.78
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $135.77 / $161.63	Professional		$93.89	$135.77	$161.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $135.30 / $233.06	Professional		$134.43	$135.30	$233.06