Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.48 / $2,071.00 / $6,762.00	Facility		$186.48	$2,071.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $158.97 / $269.42	Professional		$105.67	$158.97	$269.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $199.17 / $792.60	Facility		$109.14	$199.17	$792.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.65 / $183.70 / $254.69	Professional		$112.65	$183.70	$254.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $106.58 / $193.54 / $193.54	Facility		$106.58	$193.54	$193.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $197.51 / $297.88	Professional		$124.16	$197.51	$297.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $627.10 / $9,102.00 / $11,500.00	Facility		$627.10	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $895.76 / $1,423.04 / $1,663.43	Professional		$895.76	$1,423.04	$1,663.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.14 / $178.84 / $266.30	Facility		$111.14	$178.84	$266.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $239.76 / $356.77	Professional		$150.41	$239.76	$356.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $178.67 / $236.39	Professional		$111.36	$178.67	$236.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $178.84 / $267.30	Facility		$109.83	$178.84	$267.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $205.49 / $345.44	Professional		$126.06	$205.49	$345.44
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,513.00 / $3,287.00	Facility		$374.00	$1,513.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $203.55 / $295.38	Professional		$150.56	$203.55	$295.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $184.10 / $257.74	Professional		$163.69	$184.10	$257.74