Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.06 / $3,162.00 / $10,836.00	Facility		$230.06	$3,162.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $135.47 / $216.65	Professional		$91.88	$135.47	$216.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.53 / $786.56 / $6,491.00	Facility		$226.53	$786.56	$6,491.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $159.75 / $230.38	Professional		$96.53	$159.75	$230.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $101.42 / $173.41	Facility		$87.71	$101.42	$173.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $178.14 / $271.00	Professional		$110.56	$178.14	$271.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $519.32 / $26,542.00 / $26,542.00	Facility		$519.32	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $1,925.20 / $1,925.20	Professional		$1,775.00	$1,925.20	$1,925.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.59 / $160.43 / $251.63	Facility		$100.59	$160.43	$251.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $206.38 / $311.64	Professional		$128.99	$206.38	$311.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $161.55 / $221.32	Professional		$96.35	$161.55	$221.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.59 / $160.72 / $260.37	Facility		$100.59	$160.72	$260.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $185.46 / $312.58	Professional		$113.66	$185.46	$312.58
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 $141.47 / $188.12 / $284.33	Professional		$141.47	$188.12	$284.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $161.55 / $226.17	Professional		$143.00	$161.55	$226.17