Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.22 / $2,500.00 / $7,495.00	Facility		$193.22	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $151.22 / $217.40	Professional		$103.60	$151.22	$217.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.42 / $336.01 / $726.99	Facility		$191.42	$336.01	$726.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $148.88 / $250.51	Professional		$99.96	$148.88	$250.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $96.47 / $154.44	Facility		$96.47	$96.47	$154.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $178.18 / $2,213.00	Facility		$150.36	$178.18	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $176.86 / $318.89	Professional		$115.44	$176.86	$318.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $756.60 / $11,500.00 / $16,394.00	Facility		$756.60	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $797.60 / $1,148.32 / $1,344.98	Professional		$797.60	$1,148.32	$1,344.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.74 / $161.47 / $272.57	Facility		$106.74	$161.47	$272.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $193.68 / $276.57	Professional		$139.61	$193.68	$276.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $178.20 / $452.00	Professional		$5.00	$178.20	$452.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.74 / $162.36 / $298.70	Facility		$106.74	$162.36	$298.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $196.09 / $368.68	Professional		$118.17	$196.09	$368.68
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $171.52 / $269.80	Professional		$129.41	$171.52	$269.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $154.61 / $209.83	Professional		$132.24	$154.61	$209.83