Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.35 / $2,124.00 / $7,316.00	Facility		$150.35	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $113.60 / $181.37	Professional		$48.44	$113.60	$181.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $2,673.00 / $4,277.00	Facility		$527.00	$2,673.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $97.15 / $196.50	Professional		$48.05	$97.15	$196.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $45.74 / $129.72	Facility		$45.74	$45.74	$129.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $107.74 / $233.05	Professional		$53.86	$107.74	$233.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $347.28 / $700.88	Facility		$55.00	$347.28	$700.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.43 / $2,020.93 / $3,514.80	Professional		$1,002.43	$2,020.93	$3,514.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $120.59 / $288.86	Facility		$48.23	$120.59	$288.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $151.22 / $225.02	Professional		$63.92	$151.22	$225.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $216.70 / $475.60	Professional		$5.00	$216.70	$475.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $120.92 / $293.13	Facility		$48.28	$120.92	$293.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $126.21 / $276.00	Professional		$56.71	$126.21	$276.00
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $132.59 / $272.49	Professional		$96.43	$132.59	$272.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $115.65 / $164.13	Professional		$103.25	$115.65	$164.13