Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $2,124.00 / $7,316.00	Facility		$131.38	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $100.18 / $149.33	Professional		$76.12	$100.18	$149.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,673.00 / $3,989.00	Facility		$1,100.00	$2,673.00	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $100.11 / $167.76	Professional		$72.70	$100.11	$167.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $72.06 / $113.51	Facility		$72.06	$72.06	$113.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $122.80 / $200.09	Professional		$85.90	$122.80	$200.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $372.20 / $398.43	Facility		$55.00	$372.20	$398.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $903.00 / $903.00 / $903.00	Professional		$903.00	$903.00	$903.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $110.18 / $177.95	Facility		$78.56	$110.18	$177.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $145.01 / $211.67	Professional		$101.35	$145.01	$211.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $170.50 / $272.50	Professional		$3.00	$170.50	$272.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.87 / $110.69 / $188.90	Facility		$78.87	$110.69	$188.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $133.96 / $240.00	Professional		$91.02	$133.96	$240.00
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 $82.75 / $108.70 / $177.75	Professional		$82.75	$108.70	$177.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $101.06 / $141.36	Professional		$89.17	$101.06	$141.36