Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.88 / $2,124.00 / $6,762.00	Facility		$151.88	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $123.18 / $165.36	Professional		$94.25	$123.18	$165.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $74.11 / $300.37	Facility		$43.68	$74.11	$300.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $122.53 / $195.82	Professional		$88.49	$122.53	$195.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.81 / $227.62 / $227.62	Facility		$83.81	$227.62	$227.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.97 / $71.97 / $71.97	Facility		$71.97	$71.97	$71.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $147.35 / $242.93	Professional		$106.30	$147.35	$242.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $468.45	Facility		$55.00	$55.00	$468.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $884.00 / $905.84 / $1,037.25	Professional		$884.00	$905.84	$1,037.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.26 / $145.32 / $267.52	Facility		$101.26	$145.32	$267.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $157.27 / $211.72	Professional		$121.94	$157.27	$211.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.26 / $145.60 / $268.43	Facility		$101.26	$145.60	$268.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $156.31 / $257.95	Professional		$109.54	$156.31	$257.95
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $943.00 / $2,376.00	Facility		$157.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $139.55 / $217.80	Professional		$99.68	$139.55	$217.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $117.73 / $163.50	Professional		$103.25	$117.73	$163.50