Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.27 / $2,080.00 / $6,762.00	Facility		$146.27	$2,080.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $93.65 / $156.24	Professional		$70.80	$93.65	$156.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $1,439.00 / $14,275.00	Facility		$551.66	$1,439.00	$14,275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $96.37 / $155.78	Professional		$76.83	$96.37	$155.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $543.73 / $543.73	Facility		$83.70	$543.73	$543.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $125.71 / $199.43	Professional		$91.04	$125.71	$199.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $461.04	Facility		$55.00	$55.00	$461.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $686.24 / $862.80 / $1,024.34	Professional		$686.24	$862.80	$1,024.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $115.26 / $164.42	Facility		$89.85	$115.26	$164.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.85 / $160.02 / $218.40	Professional		$116.85	$160.02	$218.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $143.82 / $294.19	Professional		$93.29	$143.82	$294.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $115.26 / $165.12	Facility		$89.85	$115.26	$165.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $132.08 / $210.97	Professional		$93.94	$132.08	$210.97
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,073.00 / $2,668.00	Facility		$161.00	$1,073.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $127.23 / $187.81	Professional		$95.42	$127.23	$187.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $114.04 / $157.94	Professional		$100.21	$114.04	$157.94