Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.94 / $3,445.00 / $10,234.00	Facility		$128.94	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $122.80 / $164.85	Professional		$90.99	$122.80	$164.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.30 / $989.90 / $2,351.80	Facility		$551.30	$989.90	$2,351.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $117.28 / $193.93	Professional		$83.19	$117.28	$193.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $81.20 / $81.20	Facility		$81.20	$81.20	$81.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.01 / $477.01 / $477.01	Facility		$477.01	$477.01	$477.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $159.30 / $259.58	Professional		$100.83	$159.30	$259.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $718.27	Facility		$55.00	$55.00	$718.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.88 / $933.22 / $1,046.03	Professional		$660.88	$933.22	$1,046.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.98 / $145.91 / $267.08	Facility		$93.98	$145.91	$267.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $159.37 / $220.66	Professional		$113.11	$159.37	$220.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $175.70 / $175.70	Professional		$175.70	$175.70	$175.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.97 / $147.21 / $275.29	Facility		$91.97	$147.21	$275.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $162.13 / $276.04	Professional		$103.55	$162.13	$276.04
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $149.82 / $229.12	Professional		$108.76	$149.82	$229.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $119.07 / $166.08	Professional		$104.63	$119.07	$166.08