Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.49 / $2,128.00 / $7,316.00	Facility		$255.49	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $156.19 / $232.26	Professional		$129.38	$156.19	$232.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $182.60 / $362.70	Professional		$150.37	$182.60	$362.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $144.61 / $189.51	Facility		$144.61	$144.61	$189.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $202.87 / $306.77	Professional		$157.85	$202.87	$306.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $769.22 / $12,000.00 / $12,000.00	Facility		$769.22	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.56 / $1,516.65 / $1,528.58	Professional		$1,142.56	$1,516.65	$1,528.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.75 / $188.12 / $263.01	Facility		$148.75	$188.12	$263.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $259.10 / $321.27	Professional		$172.73	$259.10	$321.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $185.12 / $239.53	Professional		$154.84	$185.12	$239.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $189.95 / $280.12	Facility		$145.09	$189.95	$280.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $217.95 / $336.28	Professional		$162.50	$217.95	$336.28
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $187.31 / $281.20	Professional		$140.47	$187.31	$281.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $168.29 / $230.97	Professional		$147.41	$168.29	$230.97