Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $167.64 / $244.43	Professional		$142.37	$167.64	$244.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.54 / $600.85 / $1,349.07	Facility		$332.54	$600.85	$1,349.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $168.01 / $251.86	Professional		$126.33	$168.01	$251.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.40 / $132.40 / $132.40	Facility		$132.40	$132.40	$132.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.58 / $299.58 / $299.58	Facility		$299.58	$299.58	$299.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.26 / $209.04 / $331.10	Professional		$160.26	$209.04	$331.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,922.50	Facility		$55.00	$55.00	$2,922.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.28 / $1,158.00 / $1,315.95	Professional		$1,131.28	$1,158.00	$1,315.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $206.49 / $342.30	Facility		$153.75	$206.49	$342.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $233.10 / $274.23	Professional		$167.59	$233.10	$274.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $184.45 / $222.10	Professional		$139.97	$184.45	$222.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $211.64 / $350.37	Facility		$153.75	$211.64	$350.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.07 / $212.80 / $348.36	Professional		$161.07	$212.80	$348.36
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $176.26 / $272.41	Professional		$128.19	$176.26	$272.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $148.38 / $205.35	Professional		$130.03	$148.38	$205.35