Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $3,213.00 / $10,234.00	Facility		$228.32	$3,213.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $247.66 / $395.12	Professional		$147.91	$247.66	$395.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $186.95 / $678.56	Facility		$106.83	$186.95	$678.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $253.77 / $388.80	Professional		$147.88	$253.77	$388.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $148.99 / $150.99	Facility		$80.00	$148.99	$150.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.82 / $272.82 / $272.82	Facility		$272.82	$272.82	$272.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $287.35 / $451.01	Professional		$174.30	$287.35	$451.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $821.18	Facility		$55.00	$55.00	$821.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.00 / $2,071.04 / $2,464.42	Professional		$1,286.00	$2,071.04	$2,464.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.06 / $266.24 / $404.54	Facility		$162.06	$266.24	$404.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $296.00 / $502.91	Professional		$206.88	$296.00	$502.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.40 / $228.40 / $228.40	Professional		$228.40	$228.40	$228.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.06 / $266.29 / $410.65	Facility		$162.06	$266.29	$410.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.14 / $300.66 / $499.55	Professional		$177.14	$300.66	$499.55
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $931.00 / $2,376.00	Facility		$161.00	$931.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.97 / $271.45 / $426.30	Professional		$200.97	$271.45	$426.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.46 / $269.75 / $380.93	Professional		$240.46	$269.75	$380.93