Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.76 / $2,500.00 / $7,316.00	Facility		$249.76	$2,500.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.74 / $196.14 / $264.92	Professional		$130.74	$196.14	$264.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $250.48 / $565.49	Facility		$145.59	$250.48	$565.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $200.26 / $408.69	Professional		$123.45	$200.26	$408.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.32 / $114.32 / $114.32	Facility		$114.32	$114.32	$114.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $149.91 / $149.91	Facility		$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $221.11 / $376.52	Professional		$142.96	$221.11	$376.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.39 / $16,394.00 / $16,394.00	Facility		$1,069.39	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.00 / $1,661.02 / $1,756.35	Professional		$1,499.00	$1,661.02	$1,756.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.55 / $225.35 / $451.54	Facility		$137.55	$225.35	$451.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $242.47 / $354.92	Professional		$169.47	$242.47	$354.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.30 / $256.30 / $256.30	Professional		$256.30	$256.30	$256.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.55 / $228.94 / $458.30	Facility		$137.55	$228.94	$458.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $228.35 / $410.97	Professional		$143.76	$228.35	$410.97
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $943.00 / $2,376.00	Facility		$157.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $230.41 / $368.02	Professional		$171.66	$230.41	$368.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $195.39 / $274.39	Professional		$173.09	$195.39	$274.39