Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $3,445.00 / $10,234.00	Facility		$128.69	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.87 / $134.22 / $240.00	Professional		$102.87	$134.22	$240.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.92 / $95.45 / $377.67	Facility		$54.92	$95.45	$377.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $156.37 / $250.15	Professional		$119.53	$156.37	$250.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $114.76 / $114.76	Facility		$114.76	$114.76	$114.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $88.68 / $88.68	Facility		$88.68	$88.68	$88.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $182.14 / $288.54	Professional		$130.04	$182.14	$288.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $620.29	Facility		$55.00	$55.00	$620.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $909.84 / $3,020.93 / $3,111.55	Professional		$909.84	$3,020.93	$3,111.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.01 / $181.45 / $326.73	Facility		$126.01	$181.45	$326.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $210.29 / $277.72	Professional		$165.69	$210.29	$277.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.70 / $202.70 / $202.70	Professional		$202.70	$202.70	$202.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $184.28 / $340.86	Facility		$126.07	$184.28	$340.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $191.53 / $318.97	Professional		$136.19	$191.53	$318.97
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $177.20 / $276.69	Professional		$128.32	$177.20	$276.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $149.49 / $206.39	Professional		$131.68	$149.49	$206.39