Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.73 / $2,128.00 / $7,513.00	Facility		$282.73	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $188.11 / $306.72	Professional		$161.78	$188.11	$306.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $166.71 / $666.84	Facility		$93.71	$166.71	$666.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $206.10 / $295.62	Professional		$163.66	$206.10	$295.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $166.49 / $166.49	Facility		$80.00	$166.49	$166.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.42 / $302.42 / $302.42	Facility		$302.42	$302.42	$302.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $245.72 / $384.25	Professional		$182.45	$245.72	$384.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $941.78	Facility		$55.00	$55.00	$941.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.60 / $1,511.12 / $1,688.03	Professional		$1,333.60	$1,511.12	$1,688.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.78 / $228.68 / $370.60	Facility		$174.78	$228.68	$370.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $226.54 / $275.79 / $351.63	Professional		$226.54	$275.79	$351.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.71 / $342.70 / $689.85	Professional		$202.71	$342.70	$689.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.52 / $230.59 / $381.30	Facility		$175.52	$230.59	$381.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $258.11 / $399.02	Professional		$185.20	$258.11	$399.02
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 $159.51 / $211.07 / $334.51	Professional		$159.51	$211.07	$334.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $189.99 / $267.27	Professional		$168.13	$189.99	$267.27