Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.71 / $2,124.00 / $6,762.00	Facility		$200.71	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $113.71 / $204.16	Professional		$69.45	$113.71	$204.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $130.66 / $498.52	Facility		$69.59	$130.66	$498.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $124.35 / $216.18	Professional		$64.50	$124.35	$216.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $62.84 / $62.84	Facility		$62.84	$62.84	$62.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.76 / $152.76 / $152.76	Facility		$152.76	$152.76	$152.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $146.15 / $240.11	Professional		$80.65	$146.15	$240.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $348.65 / $9,102.00 / $11,500.00	Facility		$348.65	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $771.21 / $1,154.40 / $1,343.70	Professional		$771.21	$1,154.40	$1,343.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $149.07 / $249.30	Facility		$70.70	$149.07	$249.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $128.75 / $271.70	Professional		$89.99	$128.75	$271.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $321.20 / $321.20	Professional		$321.20	$321.20	$321.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $150.66 / $267.45	Facility		$70.70	$150.66	$267.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $152.24 / $261.20	Professional		$82.00	$152.24	$261.20
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $139.97 / $237.44	Professional		$96.39	$139.97	$237.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $149.07 / $210.40	Professional		$132.51	$149.07	$210.40