Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.86 / $2,444.00 / $7,122.00	Facility		$526.86	$2,444.00	$7,122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $500.90 / $858.18	Professional		$118.17	$500.90	$858.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.79 / $958.67 / $1,848.33	Facility		$389.79	$958.67	$1,848.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $509.35 / $831.90	Professional		$122.50	$509.35	$831.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.82 / $847.50 / $847.50	Facility		$116.82	$847.50	$847.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $335.59 / $1,033.65	Professional		$152.76	$335.59	$1,033.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,213.92	Facility		$55.00	$55.00	$1,213.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,307.77 / $4,450.88 / $5,217.14	Professional		$2,307.77	$4,450.88	$5,217.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.75 / $471.72 / $838.28	Facility		$126.75	$471.72	$838.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.33 / $600.35 / $1,116.65	Professional		$161.33	$600.35	$1,116.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $291.76 / $719.29	Professional		$123.23	$291.76	$719.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $447.83 / $838.28	Facility		$127.35	$447.83	$838.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $354.01 / $1,112.44	Professional		$157.19	$354.01	$1,112.44
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,571.00	Facility		$371.00	$1,529.00	$3,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.49 / $676.09 / $1,121.06	Professional		$474.49	$676.09	$1,121.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.38 / $572.12 / $800.97	Professional		$512.38	$572.12	$800.97