Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.33 / $2,124.00 / $7,513.00	Facility		$299.33	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.49 / $209.11 / $317.07	Professional		$143.49	$209.11	$317.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $224.73 / $828.16	Facility		$127.79	$224.73	$828.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $225.93 / $323.43	Professional		$152.97	$225.93	$323.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $136.21 / $136.21 / $232.10	Facility		$136.21	$136.21	$232.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $253.25 / $386.36	Professional		$173.36	$253.25	$386.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,158.06	Facility		$55.00	$55.00	$1,158.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.28 / $1,780.00 / $2,053.35	Professional		$1,231.28	$1,780.00	$2,053.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $228.23 / $342.99	Facility		$157.69	$228.23	$342.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $305.04 / $443.41	Professional		$205.00	$305.04	$443.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $225.51 / $287.08	Professional		$142.46	$225.51	$287.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $228.23 / $345.87	Facility		$157.69	$228.23	$345.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.96 / $266.12 / $436.67	Professional		$181.96	$266.12	$436.67
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 $189.47 / $251.54 / $373.26	Professional		$189.47	$251.54	$373.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $229.88 / $321.83	Professional		$203.46	$229.88	$321.83