Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $2,500.00 / $7,495.00	Facility		$312.30	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $198.93 / $297.77	Professional		$133.99	$198.93	$297.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $212.34 / $865.37	Facility		$119.03	$212.34	$865.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $217.61 / $309.62	Professional		$140.05	$217.61	$309.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $125.32 / $223.44	Facility		$125.32	$125.32	$223.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.74 / $241.63 / $362.35	Professional		$158.74	$241.63	$362.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $774.20	Facility		$55.00	$55.00	$774.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.64 / $1,709.20 / $1,973.85	Professional		$1,124.64	$1,709.20	$1,973.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.34 / $219.03 / $327.35	Facility		$144.34	$219.03	$327.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $286.26 / $425.96	Professional		$187.20	$286.26	$425.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $216.87 / $274.54	Professional		$130.81	$216.87	$274.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.34 / $219.03 / $327.75	Facility		$144.34	$219.03	$327.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.86 / $252.96 / $411.87	Professional		$166.86	$252.96	$411.87
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 $180.27 / $240.36 / $365.59	Professional		$180.27	$240.36	$365.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $220.58 / $308.81	Professional		$195.45	$220.58	$308.81