Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.16 / $3,445.00 / $10,893.00	Facility		$245.16	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $245.16 / $390.15	Professional		$163.71	$245.16	$390.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.12 / $161.41 / $163.72	Facility		$116.12	$161.41	$163.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $271.16 / $425.30	Professional		$165.60	$271.16	$425.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $165.43 / $167.80	Facility		$80.00	$165.43	$167.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $306.83 / $306.83	Facility		$306.83	$306.83	$306.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $309.99 / $485.99	Professional		$195.31	$309.99	$485.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $917.65	Facility		$55.00	$55.00	$917.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.00 / $2,215.76 / $2,636.70	Professional		$1,608.00	$2,215.76	$2,636.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.71 / $271.45 / $421.64	Facility		$178.71	$271.45	$421.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $332.10 / $538.12	Professional		$232.12	$332.10	$538.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $241.90	Professional		$241.90	$241.90	$241.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.71 / $272.83 / $424.70	Facility		$178.71	$272.83	$424.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $326.05 / $541.41	Professional		$197.68	$326.05	$541.41
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 $222.50 / $296.66 / $459.82	Professional		$222.50	$296.66	$459.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.30 / $289.00 / $407.42	Professional		$257.30	$289.00	$407.42