Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.18 / $3,596.00 / $10,836.00	Facility		$282.18	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.94 / $203.12 / $244.45	Professional		$177.94	$203.12	$244.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.29 / $209.22 / $285.08	Professional		$165.29	$209.22	$285.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $166.73 / $166.73 / $166.73	Facility		$166.73	$166.73	$166.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $252.39 / $406.84	Professional		$187.08	$252.39	$406.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,813.50	Facility		$55.00	$55.00	$1,813.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.59 / $1,295.83 / $1,537.80	Professional		$1,267.59	$1,295.83	$1,537.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.94 / $213.78 / $411.05	Facility		$172.94	$213.78	$411.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $262.01 / $305.67	Professional		$227.07	$262.01	$305.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $199.21 / $302.64	Professional		$167.04	$199.21	$302.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.94 / $213.78 / $460.80	Facility		$172.94	$213.78	$460.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $255.60 / $445.02	Professional		$187.08	$255.60	$445.02
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 $154.75 / $206.46 / $324.89	Professional		$154.75	$206.46	$324.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $171.02 / $233.47	Professional		$149.08	$171.02	$233.47