Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.78 / $3,431.00 / $8,883.00	Facility		$184.78	$3,431.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $181.48 / $230.27	Professional		$110.12	$181.48	$230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.86 / $1,233.89 / $2,664.27	Facility		$565.86	$1,233.89	$2,664.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $174.19 / $291.86	Professional		$104.58	$174.19	$291.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.10 / $112.10 / $112.10	Facility		$112.10	$112.10	$112.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $211.56 / $368.54	Professional		$125.17	$211.56	$368.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $819.06	Facility		$55.00	$55.00	$819.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $854.16 / $1,409.04 / $1,662.98	Professional		$854.16	$1,409.04	$1,662.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.04 / $197.27 / $361.62	Facility		$116.04	$197.27	$361.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $215.98 / $344.68	Professional		$150.96	$215.98	$344.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $185.20	Professional		$185.20	$185.20	$185.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.04 / $197.64 / $396.22	Facility		$116.04	$197.64	$396.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $224.20 / $380.00	Professional		$132.06	$224.20	$380.00
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,554.00	Facility		$564.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $226.07 / $345.41	Professional		$162.54	$226.07	$345.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.43 / $183.21 / $259.58	Professional		$163.43	$183.21	$259.58