Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.94 / $3,445.00 / $10,893.00	Facility		$291.94	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $291.94 / $457.81	Professional		$176.62	$291.94	$457.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.71 / $427.47 / $1,018.00	Facility		$236.71	$427.47	$1,018.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.07 / $325.19 / $503.65	Professional		$184.07	$325.19	$503.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $203.34 / $209.10	Facility		$80.00	$203.34	$209.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.83 / $336.83 / $336.83	Facility		$336.83	$336.83	$336.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $344.18 / $553.10	Professional		$210.66	$344.18	$553.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $996.03	Facility		$55.00	$55.00	$996.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.00 / $2,636.16 / $3,246.68	Professional		$1,608.00	$2,636.16	$3,246.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.66 / $291.94 / $491.81	Facility		$190.66	$291.94	$491.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $367.00 / $651.86	Professional		$256.50	$367.00	$651.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.90 / $236.90 / $236.90	Professional		$236.90	$236.90	$236.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.66 / $294.92 / $492.75	Facility		$190.66	$294.92	$492.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $371.90 / $623.79	Professional		$216.49	$371.90	$623.79
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $943.00 / $2,376.00	Facility		$161.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.84 / $339.70 / $531.83	Professional		$252.84	$339.70	$531.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.68 / $348.79 / $491.68	Professional		$311.68	$348.79	$491.68