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 $73.91 / $88.95 / $121.04	Professional		$73.91	$88.95	$121.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $136.16 / $779.08	Facility		$81.70	$136.16	$779.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $94.55 / $167.08	Professional		$71.16	$94.55	$167.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.86 / $69.86 / $69.86	Facility		$69.86	$69.86	$69.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $111.46 / $191.14	Professional		$82.08	$111.46	$191.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $617.51 / $635.03	Professional		$617.51	$617.51	$635.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $131.15 / $195.96	Facility		$77.92	$131.15	$195.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $115.32 / $135.66	Professional		$82.91	$115.32	$135.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $151.19 / $151.19	Professional		$151.19	$151.19	$151.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $131.29 / $197.36	Facility		$77.92	$131.29	$197.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $114.63 / $206.10	Professional		$82.08	$114.63	$206.10
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $94.62 / $148.69	Professional		$69.29	$94.62	$148.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $74.20 / $101.91	Professional		$64.33	$74.20	$101.91