Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,236.00 / $7,513.00	Facility		$488.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $132.01 / $225.62	Professional		$111.40	$132.01	$225.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.86 / $347.18 / $804.34	Facility		$204.86	$347.18	$804.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $152.16 / $213.42	Professional		$122.89	$152.16	$213.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.48 / $97.48 / $119.95	Facility		$97.48	$97.48	$119.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $150.62 / $150.62	Facility		$150.62	$150.62	$150.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $164.28 / $251.61	Professional		$125.07	$164.28	$251.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $731.30	Facility		$55.00	$55.00	$731.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $959.60 / $987.68 / $1,136.93	Professional		$959.60	$987.68	$1,136.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.85 / $146.79 / $272.24	Facility		$119.85	$146.79	$272.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $186.15 / $242.47	Professional		$152.91	$186.15	$242.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.12 / $232.42 / $569.10	Professional		$146.12	$232.42	$569.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $149.32 / $272.24	Facility		$120.58	$149.32	$272.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $172.54 / $265.70	Professional		$125.81	$172.54	$265.70
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $134.33 / $217.16	Professional		$99.61	$134.33	$217.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $125.81 / $175.84	Professional		$111.26	$125.81	$175.84