Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.38 / $3,596.00 / $10,836.00	Facility		$246.38	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $177.80 / $212.65	Professional		$153.12	$177.80	$212.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.74 / $181.94 / $253.49	Professional		$143.74	$181.94	$253.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $142.87 / $142.87 / $142.87	Facility		$142.87	$142.87	$142.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $221.78 / $347.37	Professional		$166.69	$221.78	$347.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,170.17	Facility		$55.00	$55.00	$2,170.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,622.00 / $2,622.00 / $2,622.00	Professional		$2,622.00	$2,622.00	$2,622.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.03 / $213.77 / $434.62	Facility		$163.03	$213.77	$434.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $228.05 / $266.05	Professional		$197.64	$228.05	$266.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $187.60 / $320.67	Professional		$148.21	$187.60	$320.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.03 / $218.37 / $434.62	Facility		$163.03	$218.37	$434.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.44 / $225.92 / $390.62	Professional		$164.44	$225.92	$390.62
United Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $949.00 / $2,287.00	Facility		$155.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $177.35 / $287.13	Professional		$135.12	$177.35	$287.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $149.32 / $202.61	Professional		$129.75	$149.32	$202.61