Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.62 / $3,596.00 / $10,836.00	Facility		$313.62	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $188.30 / $294.61	Professional		$154.88	$188.30	$294.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.77 / $435.86 / $966.47	Facility		$251.77	$435.86	$966.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $235.05 / $397.14	Professional		$146.63	$235.05	$397.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.45 / $175.45 / $175.45	Facility		$175.45	$175.45	$175.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.09 / $234.09 / $234.09	Facility		$234.09	$234.09	$234.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.26 / $268.80 / $405.40	Professional		$194.26	$268.80	$405.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,745.03	Professional		$1,500.00	$1,500.00	$1,745.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.07 / $271.12 / $444.67	Facility		$190.07	$271.12	$444.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.56 / $298.43 / $351.09	Professional		$214.56	$298.43	$351.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $310.80 / $310.80	Professional		$310.80	$310.80	$310.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $271.56 / $488.56	Facility		$190.18	$271.56	$488.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.65 / $270.75 / $420.74	Professional		$194.65	$270.75	$420.74
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 $164.74 / $230.73 / $360.15	Professional		$164.74	$230.73	$360.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $190.07 / $259.86	Professional		$166.47	$190.07	$259.86