Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $2,124.00 / $6,762.00	Facility		$220.74	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $167.77 / $235.10	Professional		$133.43	$167.77	$235.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $117.16 / $474.85	Facility		$71.28	$117.16	$474.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $160.19 / $193.57	Professional		$126.56	$160.19	$193.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $125.49 / $125.49	Facility		$125.49	$125.49	$125.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $117.00 / $117.00	Facility		$117.00	$117.00	$117.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.04 / $213.05 / $339.09	Professional		$153.04	$213.05	$339.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $692.50	Facility		$55.00	$55.00	$692.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.35 / $1,306.56 / $1,499.93	Professional		$1,027.35	$1,306.56	$1,499.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.90 / $202.43 / $367.86	Facility		$144.90	$202.43	$367.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $227.07 / $314.41	Professional		$177.88	$227.07	$314.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.50 / $242.50 / $242.50	Professional		$242.50	$242.50	$242.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.12 / $202.93 / $369.36	Facility		$144.12	$202.93	$369.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $222.66 / $367.24	Professional		$158.90	$222.66	$367.24
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $197.87 / $310.81	Professional		$145.22	$197.87	$310.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $169.55 / $236.21	Professional		$149.08	$169.55	$236.21