Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $2,068.00 / $6,762.00	Facility		$222.44	$2,068.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $192.78 / $272.19	Professional		$94.34	$192.78	$272.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.25 / $226.65 / $1,005.71	Facility		$134.25	$226.65	$1,005.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $172.77 / $309.22	Professional		$89.88	$172.77	$309.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.69 / $80.69 / $210.66	Facility		$80.69	$80.69	$210.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $201.05 / $2,530.00	Facility		$166.80	$201.05	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $223.55 / $391.10	Professional		$110.25	$223.55	$391.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $680.40	Facility		$55.00	$55.00	$680.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $804.66 / $813.90 / $1,795.50	Professional		$804.66	$813.90	$1,795.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.36 / $206.59 / $338.34	Facility		$95.36	$206.59	$338.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.21 / $227.72 / $372.64	Professional		$123.21	$227.72	$372.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $274.00 / $472.36	Professional		$135.46	$274.00	$472.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.37 / $208.00 / $390.08	Facility		$95.37	$208.00	$390.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $242.30 / $452.19	Professional		$113.84	$242.30	$452.19
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.14 / $233.10 / $371.61	Professional		$172.14	$233.10	$371.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $206.59 / $280.33	Professional		$176.69	$206.59	$280.33