Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.11 / $2,128.00 / $7,513.00	Facility		$302.11	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $192.71 / $311.55	Professional		$162.51	$192.71	$311.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $198.31 / $374.22	Facility		$83.84	$198.31	$374.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $218.39 / $306.33	Professional		$174.86	$218.39	$306.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $194.05 / $194.05	Facility		$80.00	$194.05	$194.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $222.44	Facility		$222.44	$222.44	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.09 / $242.24 / $377.64	Professional		$186.09	$242.24	$377.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,583.96	Facility		$55.00	$55.00	$1,583.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.44 / $1,446.72 / $1,716.38	Professional		$1,421.44	$1,446.72	$1,716.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $220.34 / $340.13	Facility		$177.25	$220.34	$340.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.79 / $290.14 / $359.78	Professional		$241.79	$290.14	$359.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.59 / $320.97 / $451.91	Professional		$217.59	$320.97	$451.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.34 / $223.01 / $354.80	Facility		$178.34	$223.01	$354.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.57 / $254.89 / $387.82	Professional		$190.57	$254.89	$387.82
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 $144.00 / $193.61 / $303.52	Professional		$144.00	$193.61	$303.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $186.07 / $261.08	Professional		$165.09	$186.07	$261.08