Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.79 / $3,596.00 / $10,836.00	Facility		$202.79	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $145.84 / $174.41	Professional		$126.82	$145.84	$174.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $150.00 / $208.98	Professional		$118.50	$150.00	$208.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.33 / $117.33 / $117.33	Facility		$117.33	$117.33	$117.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $182.30 / $342.79	Professional		$135.06	$182.30	$342.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,989.02	Facility		$55.00	$55.00	$1,989.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,803.63 / $5,803.63 / $5,803.63	Professional		$5,803.63	$5,803.63	$5,803.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.87 / $187.99 / $499.32	Facility		$134.87	$187.99	$499.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $188.25 / $219.63	Professional		$163.15	$188.25	$219.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $381.50 / $381.50 / $381.50	Professional		$381.50	$381.50	$381.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.87 / $189.77 / $499.32	Facility		$134.87	$189.77	$499.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $188.47 / $346.82	Professional		$135.06	$188.47	$346.82
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 $109.99 / $145.19 / $235.08	Professional		$109.99	$145.19	$235.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $122.90 / $167.48	Professional		$107.11	$122.90	$167.48