Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.89 / $3,445.00 / $10,893.00	Facility		$214.89	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $218.50 / $356.30	Professional		$130.01	$218.50	$356.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.99 / $182.31 / $710.65	Facility		$107.99	$182.31	$710.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $234.14 / $365.26	Professional		$132.41	$234.14	$365.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $134.91 / $136.40	Facility		$80.00	$134.91	$136.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.48 / $244.48 / $244.48	Facility		$244.48	$244.48	$244.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $268.24 / $445.85	Professional		$156.47	$268.24	$445.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $740.10	Facility		$55.00	$55.00	$740.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.07 / $1,953.92 / $2,327.03	Professional		$1,051.07	$1,953.92	$2,327.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $242.85 / $377.82	Facility		$141.94	$242.85	$377.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $311.89 / $474.61	Professional		$182.29	$311.89	$474.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $208.00	Professional		$208.00	$208.00	$208.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.96 / $243.55 / $390.78	Facility		$141.96	$243.55	$390.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.03 / $277.93 / $470.61	Professional		$160.03	$277.93	$470.61
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 $181.50 / $256.83 / $398.07	Professional		$181.50	$256.83	$398.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.93 / $254.28 / $359.61	Professional		$226.93	$254.28	$359.61