Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.75 / $2,020.00 / $6,691.00	Facility		$187.75	$2,020.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $145.43 / $210.22	Professional		$87.55	$145.43	$210.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.63 / $161.46 / $643.28	Facility		$101.63	$161.46	$643.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $144.44 / $230.57	Professional		$84.65	$144.44	$230.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $81.88 / $163.74	Facility		$81.88	$81.88	$163.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $175.51 / $1,652.00	Facility		$148.11	$175.51	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $168.44 / $293.30	Professional		$97.66	$168.44	$293.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $647.40	Facility		$55.00	$55.00	$647.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $669.76 / $1,206.56 / $1,417.73	Professional		$669.76	$1,206.56	$1,417.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $153.13 / $250.72	Facility		$91.34	$153.13	$250.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $180.80 / $293.45	Professional		$117.33	$180.80	$293.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $167.80 / $454.10	Professional		$5.00	$167.80	$454.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.40 / $155.07 / $272.93	Facility		$91.40	$155.07	$272.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $187.48 / $356.36	Professional		$102.14	$187.48	$356.36
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,513.00 / $3,260.00	Facility		$369.00	$1,513.00	$3,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $165.36 / $261.39	Professional		$119.91	$165.36	$261.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $162.66 / $220.91	Professional		$139.13	$162.66	$220.91