Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.99 / $2,514.00 / $7,495.00	Facility		$304.99	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $169.08 / $250.25	Professional		$117.76	$169.08	$250.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,954.00 / $4,278.00	Facility		$1,100.00	$1,954.00	$4,278.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.38 / $189.60 / $273.44	Professional		$124.38	$189.60	$273.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $110.60 / $201.07	Facility		$110.60	$110.60	$201.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.55 / $213.53 / $328.47	Professional		$139.55	$213.53	$328.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $661.68 / $16,394.00 / $16,394.00	Facility		$661.68	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.00 / $2,266.96 / $2,266.96	Professional		$2,089.00	$2,266.96	$2,266.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.89 / $190.95 / $298.47	Facility		$126.89	$190.95	$298.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $247.05 / $367.61	Professional		$162.94	$247.05	$367.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $186.96 / $256.25	Professional		$121.07	$186.96	$256.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.89 / $190.95 / $303.00	Facility		$126.89	$190.95	$303.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $225.15 / $366.04	Professional		$145.18	$225.15	$366.04
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 $163.63 / $218.04 / $330.12	Professional		$163.63	$218.04	$330.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $190.62 / $266.87	Professional		$168.68	$190.62	$266.87