Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.50 / $2,124.00 / $7,513.00	Facility		$253.50	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $167.20 / $246.25	Professional		$114.12	$167.20	$246.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.82 / $190.21 / $735.74	Facility		$102.82	$190.21	$735.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $190.84 / $272.80	Professional		$118.81	$190.84	$272.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $107.20 / $195.75	Facility		$107.20	$107.20	$195.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $212.69 / $317.64	Professional		$135.41	$212.69	$317.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $663.72	Facility		$55.00	$55.00	$663.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $961.20 / $1,502.80 / $1,738.50	Professional		$961.20	$1,502.80	$1,738.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.05 / $190.93 / $281.75	Facility		$123.05	$190.93	$281.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.11 / $238.25 / $362.74	Professional		$160.11	$238.25	$362.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $189.84 / $241.48	Professional		$111.86	$189.84	$241.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.05 / $191.31 / $288.95	Facility		$123.05	$191.31	$288.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $221.04 / $364.11	Professional		$142.55	$221.04	$364.11
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 $158.07 / $210.76 / $311.49	Professional		$158.07	$210.76	$311.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.99 / $193.90 / $271.45	Professional		$171.99	$193.90	$271.45