Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.07 / $2,124.00 / $7,316.00	Facility		$213.07	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $145.63 / $227.45	Professional		$117.72	$145.63	$227.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.26 / $511.22 / $1,140.65	Facility		$295.26	$511.22	$1,140.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.47 / $170.40 / $282.44	Professional		$126.47	$170.40	$282.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.02 / $131.02 / $179.76	Facility		$131.02	$131.02	$179.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $194.02 / $285.79	Professional		$148.44	$194.02	$285.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $712.31 / $12,000.00 / $12,000.00	Facility		$712.31	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.24 / $1,268.72 / $1,488.60	Professional		$1,018.24	$1,268.72	$1,488.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $172.18 / $237.99	Facility		$132.55	$172.18	$237.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.44 / $236.49 / $318.88	Professional		$171.44	$236.49	$318.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $201.59 / $394.27	Professional		$145.22	$201.59	$394.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $172.18 / $243.79	Facility		$132.55	$172.18	$243.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $203.05 / $317.81	Professional		$149.63	$203.05	$317.81
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $176.84 / $268.97	Professional		$132.63	$176.84	$268.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.32 / $165.26 / $231.36	Professional		$146.32	$165.26	$231.36