Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.61 / $2,514.00 / $7,495.00	Facility		$273.61	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $195.64 / $305.47	Professional		$152.08	$195.64	$305.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.88 / $715.59 / $1,749.21	Facility		$436.88	$715.59	$1,749.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $205.38 / $335.40	Professional		$155.44	$205.38	$335.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $167.44 / $167.44	Facility		$80.00	$167.44	$167.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $286.14 / $286.14	Facility		$286.14	$286.14	$286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.36 / $234.38 / $360.02	Professional		$170.36	$234.38	$360.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.76 / $11,500.00 / $16,394.00	Facility		$1,196.76	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.59 / $1,594.80 / $1,888.95	Professional		$1,253.59	$1,594.80	$1,888.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.02 / $217.42 / $342.56	Facility		$165.02	$217.42	$342.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $292.14 / $386.27	Professional		$221.18	$292.14	$386.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $198.90	Professional		$198.90	$198.90	$198.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.02 / $218.66 / $350.02	Facility		$165.02	$218.66	$350.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $248.42 / $395.01	Professional		$174.86	$248.42	$395.01
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.24 / $322.14	Professional		$154.88	$208.24	$322.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $207.07 / $292.86	Professional		$184.69	$207.07	$292.86