Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.95 / $2,899.00 / $8,450.00	Facility		$165.95	$2,899.00	$8,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.05 / $192.19 / $250.17	Professional		$116.05	$192.19	$250.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.09 / $249.56 / $1,018.18	Facility		$138.09	$249.56	$1,018.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $187.14 / $320.30	Professional		$109.53	$187.14	$320.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.35 / $698.30 / $698.30	Facility		$112.35	$698.30	$698.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.01 / $221.01 / $221.01	Facility		$221.01	$221.01	$221.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $224.45 / $378.97	Professional		$132.76	$224.45	$378.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $834.72	Facility		$55.00	$55.00	$834.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,470.32 / $1,716.45	Professional		$880.96	$1,470.32	$1,716.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.26 / $202.62 / $383.68	Facility		$117.26	$202.62	$383.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $219.59 / $356.33	Professional		$153.47	$219.59	$356.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $155.90 / $155.90	Professional		$155.90	$155.90	$155.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.26 / $204.68 / $391.37	Facility		$117.26	$204.68	$391.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $232.15 / $387.84	Professional		$137.55	$232.15	$387.84
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $233.24 / $365.65	Professional		$169.46	$233.24	$365.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $189.21 / $268.60	Professional		$168.95	$189.21	$268.60