Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.79 / $2,496.00 / $7,495.00	Facility		$160.79	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $101.80 / $163.33	Professional		$60.16	$101.80	$163.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.98 / $758.04 / $4,200.00	Facility		$344.98	$758.04	$4,200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $110.73 / $166.38	Professional		$63.12	$110.73	$166.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $56.79 / $129.41	Facility		$56.79	$56.79	$129.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $121.99 / $203.15	Professional		$72.04	$121.99	$203.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $333.88 / $16,394.00 / $16,394.00	Facility		$333.88	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $1,510.76 / $1,510.76	Professional		$1,392.00	$1,510.76	$1,510.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $114.92 / $189.05	Facility		$64.38	$114.92	$189.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $133.26 / $229.23	Professional		$83.29	$133.26	$229.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $118.50 / $158.49	Professional		$62.16	$118.50	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $115.59 / $195.41	Facility		$64.38	$115.59	$195.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $129.37 / $226.37	Professional		$73.79	$129.37	$226.37
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 $104.76 / $139.31 / $211.75	Professional		$104.76	$139.31	$211.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $118.50 / $165.90	Professional		$105.18	$118.50	$165.90