Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.12 / $3,431.00 / $8,883.00	Facility		$109.12	$3,431.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $109.12 / $165.73	Professional		$80.09	$109.12	$165.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.31 / $105.02 / $428.46	Facility		$62.31	$105.02	$428.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $109.64 / $179.37	Professional		$79.52	$109.64	$179.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $81.27 / $81.27	Facility		$81.27	$81.27	$81.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.32 / $106.32 / $106.32	Facility		$106.32	$106.32	$106.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $135.27 / $220.71	Professional		$94.03	$135.27	$220.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $454.10	Facility		$55.00	$55.00	$454.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $644.88 / $873.44 / $994.80	Professional		$644.88	$873.44	$994.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.18 / $124.94 / $227.21	Facility		$86.18	$124.94	$227.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $149.28 / $200.95	Professional		$112.70	$149.28	$200.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $170.90 / $170.90	Professional		$170.90	$170.90	$170.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $126.31 / $238.68	Facility		$86.49	$126.31	$238.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $137.57 / $234.66	Professional		$95.77	$137.57	$234.66
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,376.00	Facility		$157.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $122.41 / $199.28	Professional		$91.52	$122.41	$199.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $110.44 / $155.44	Professional		$98.00	$110.44	$155.44