Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.21 / $2,124.00 / $6,762.00	Facility		$170.21	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $128.68 / $175.69	Professional		$86.37	$128.68	$175.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $125.93 / $191.57	Professional		$80.13	$125.93	$191.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $78.13 / $732.06 / $732.06	Facility		$78.13	$732.06	$732.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $154.61 / $243.29	Professional		$100.21	$154.61	$243.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $407.74	Facility		$55.00	$55.00	$407.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $613.91 / $741.75 / $1,168.88	Professional		$613.91	$741.75	$1,168.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.64 / $139.41 / $245.15	Facility		$88.64	$139.41	$245.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $147.74 / $233.22	Professional		$109.75	$147.74	$233.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $145.94 / $270.26	Professional		$84.91	$145.94	$270.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.64 / $140.96 / $324.86	Facility		$88.64	$140.96	$324.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $160.25 / $254.14	Professional		$100.85	$160.25	$254.14
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $163.19 / $259.05	Professional		$120.45	$163.19	$259.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.74 / $128.91 / $179.27	Professional		$113.74	$128.91	$179.27