Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.77 / $2,017.00 / $6,762.00	Facility		$190.77	$2,017.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $156.18 / $231.99	Professional		$102.74	$156.18	$231.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $198.65 / $790.51	Facility		$108.85	$198.65	$790.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.04 / $181.59 / $253.41	Professional		$112.04	$181.59	$253.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $105.93 / $191.62	Facility		$105.93	$105.93	$191.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $195.08 / $294.95	Professional		$123.45	$195.08	$294.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $622.63 / $9,102.00 / $11,500.00	Facility		$622.63	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $889.52 / $1,419.20 / $1,656.75	Professional		$889.52	$1,419.20	$1,656.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.69 / $176.66 / $263.75	Facility		$110.69	$176.66	$263.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $238.72 / $355.58	Professional		$149.19	$238.72	$355.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $178.04 / $235.97	Professional		$110.67	$178.04	$235.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $178.23 / $266.62	Facility		$111.07	$178.23	$266.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $203.72 / $342.91	Professional		$125.48	$203.72	$342.91
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $202.46 / $293.57	Professional		$151.13	$202.46	$293.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $183.48 / $256.87	Professional		$163.16	$183.48	$256.87