Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.46 / $1,904.00 / $6,762.00	Facility		$209.46	$1,904.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $131.74 / $199.03	Professional		$62.30	$131.74	$199.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $180.86 / $719.96	Facility		$108.88	$180.86	$719.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $136.25 / $245.69	Professional		$61.88	$136.25	$245.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.74 / $54.74 / $54.74	Facility		$54.74	$54.74	$54.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.80 / $158.80 / $158.80	Facility		$158.80	$158.80	$158.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $169.37 / $294.12	Professional		$75.73	$169.37	$294.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $460.32	Facility		$55.00	$55.00	$460.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $1,317.60 / $6,897.85	Professional		$688.00	$1,317.60	$6,897.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $153.69 / $301.36	Facility		$65.98	$153.69	$301.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $167.95 / $274.82	Professional		$84.53	$167.95	$274.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $304.00	Professional		$304.00	$304.00	$304.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $154.51 / $330.72	Facility		$66.48	$154.51	$330.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $176.55 / $302.31	Professional		$76.25	$176.55	$302.31
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $186.71 / $289.13	Professional		$130.68	$186.71	$289.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $146.38 / $207.20	Professional		$130.31	$146.38	$207.20