Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $207.00	Facility		$204.96	$204.96	$207.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $237.52	Professional		$204.96	$204.96	$237.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.12 / $856.12 / $856.12	Professional		$856.12	$856.12	$856.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $204.96 / $204.96	Facility		$193.35	$204.96	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.67 / $1,266.67 / $1,266.67	Facility		$1,076.67	$1,266.67	$1,266.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.96 / $1,778.96 / $1,778.96	Professional		$1,778.96	$1,778.96	$1,778.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $235.17 / $434.52	Facility		$207.00	$235.17	$434.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $338.18	Professional		$204.96	$204.96	$338.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $205.54 / $1,205.09	Professional		$176.10	$205.54	$1,205.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $434.52	Facility		$204.96	$204.96	$434.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $315.97	Professional		$204.96	$204.96	$315.97
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $207.62	Professional		$204.96	$204.96	$207.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $235.17 / $276.70	Professional		$204.96	$235.17	$276.70