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 $97.10 / $112.43 / $162.02	Professional		$97.10	$112.43	$162.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $104.70 / $148.78	Professional		$87.74	$104.70	$148.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $81.52 / $84.52	Facility		$81.52	$81.52	$84.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $1,322.00 / $1,487.00	Facility		$110.57	$1,322.00	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $138.78 / $222.75	Professional		$100.58	$138.78	$222.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $468.21	Facility		$55.00	$55.00	$468.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $708.16 / $729.92 / $780.68	Professional		$708.16	$729.92	$780.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $116.11 / $228.08	Facility		$93.11	$116.11	$228.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.11 / $134.60 / $167.09	Professional		$102.11	$134.60	$167.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.40 / $241.40 / $241.40	Professional		$121.40	$241.40	$241.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.03 / $118.71 / $246.27	Facility		$94.03	$118.71	$246.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $150.93 / $251.68	Professional		$102.63	$150.93	$251.68
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,081.00 / $2,827.00	Facility		$161.00	$1,081.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $116.31 / $181.66	Professional		$84.59	$116.31	$181.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $93.02 / $125.70	Professional		$79.23	$93.02	$125.70