Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.48 / $2,500.00 / $7,495.00	Facility		$302.48	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $171.93 / $271.26	Professional		$108.58	$171.93	$271.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $203.00 / $781.97	Facility		$114.43	$203.00	$781.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $187.76 / $264.12	Professional		$116.33	$187.76	$264.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.24 / $651.75 / $651.75	Facility		$108.24	$651.75	$651.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $204.84 / $313.72	Professional		$129.57	$204.84	$313.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $873.48 / $9,102.00 / $11,500.00	Facility		$873.48	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $923.76 / $1,462.96 / $1,706.70	Professional		$923.76	$1,462.96	$1,706.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.52 / $185.27 / $275.39	Facility		$118.52	$185.27	$275.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.86 / $246.24 / $366.40	Professional		$154.86	$246.24	$366.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $189.05 / $240.85	Professional		$113.12	$189.05	$240.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $185.27 / $278.14	Facility		$117.30	$185.27	$278.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $212.18 / $356.81	Professional		$133.47	$212.18	$356.81
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 $156.18 / $208.24 / $304.52	Professional		$156.18	$208.24	$304.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $189.05 / $264.67	Professional		$168.13	$189.05	$264.67