Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.16 / $2,107.00 / $6,762.00	Facility		$153.16	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $113.39 / $176.73	Professional		$77.37	$113.39	$176.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $86.00 / $339.71	Facility		$52.56	$86.00	$339.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $100.92 / $160.83	Professional		$67.45	$100.92	$160.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.08 / $171.82 / $171.82	Facility		$74.08	$171.82	$171.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.25 / $94.25 / $94.25	Facility		$94.25	$94.25	$94.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $137.30 / $229.34	Professional		$91.17	$137.30	$229.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $410.54	Facility		$55.00	$55.00	$410.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $606.79 / $902.64 / $1,058.18	Professional		$606.79	$902.64	$1,058.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.46 / $128.05 / $219.61	Facility		$86.46	$128.05	$219.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $152.22 / $213.41	Professional		$106.39	$152.22	$213.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $167.30 / $167.30	Professional		$167.30	$167.30	$167.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.46 / $129.06 / $236.01	Facility		$86.46	$129.06	$236.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $143.10 / $240.50	Professional		$92.33	$143.10	$240.50
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,667.00	Facility		$161.00	$1,058.00	$2,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $128.38 / $207.91	Professional		$93.50	$128.38	$207.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $117.82 / $164.67	Professional		$104.08	$117.82	$164.67