Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.97 / $2,124.00 / $7,513.00	Facility		$296.97	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $207.46 / $289.62	Professional		$145.59	$207.46	$289.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.28 / $198.22 / $800.07	Facility		$129.28	$198.22	$800.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $224.08 / $339.25	Professional		$155.13	$224.08	$339.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.53 / $210.81 / $228.23	Facility		$138.53	$210.81	$228.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $254.23 / $392.53	Professional		$176.54	$254.23	$392.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,174.26	Facility		$55.00	$55.00	$1,174.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,248.96 / $1,769.12 / $2,037.98	Professional		$1,248.96	$1,769.12	$2,037.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.80 / $227.16 / $342.66	Facility		$160.80	$227.16	$342.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.83 / $309.24 / $440.41	Professional		$207.83	$309.24	$440.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $228.44 / $285.12	Professional		$144.47	$228.44	$285.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.80 / $227.36 / $344.68	Facility		$160.80	$227.36	$344.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.55 / $267.37 / $435.82	Professional		$185.55	$267.37	$435.82
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 $188.19 / $250.46 / $375.69	Professional		$188.19	$250.46	$375.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.08 / $228.44 / $319.82	Professional		$202.08	$228.44	$319.82