Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.88 / $2,124.00 / $7,339.00	Facility		$179.88	$2,124.00	$7,339.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $148.13 / $209.67	Professional		$103.69	$148.13	$209.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.47 / $160.18 / $614.91	Facility		$99.47	$160.18	$614.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $137.37 / $235.72	Professional		$97.26	$137.37	$235.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.10 / $100.10 / $154.25	Facility		$100.10	$100.10	$154.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $136.51 / $1,652.00	Facility		$115.20	$136.51	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $175.22 / $308.44	Professional		$114.52	$175.22	$308.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $741.90	Facility		$55.00	$55.00	$741.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $781.52 / $1,070.88 / $1,244.70	Professional		$781.52	$1,070.88	$1,244.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.77 / $157.04 / $271.60	Facility		$106.77	$157.04	$271.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $183.98 / $256.93	Professional		$136.66	$183.98	$256.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $182.00 / $404.00	Professional		$5.00	$182.00	$404.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.77 / $158.47 / $295.70	Facility		$106.77	$158.47	$295.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $194.32 / $349.63	Professional		$120.50	$194.32	$349.63
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $864.00 / $2,270.00	Facility		$144.00	$864.00	$2,270.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $174.84 / $271.54	Professional		$128.13	$174.84	$271.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $143.72 / $195.01	Professional		$122.85	$143.72	$195.01