Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.95 / $3,596.00 / $10,836.00	Facility		$174.95	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $99.68 / $164.35	Professional		$86.29	$99.68	$164.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $130.52 / $142.71	Professional		$103.11	$130.52	$142.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $96.67 / $96.67	Facility		$96.67	$96.67	$96.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $146.34 / $219.60	Professional		$107.60	$146.34	$219.60
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 $794.76 / $796.48 / $972.98	Professional		$794.76	$796.48	$972.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.88 / $138.40 / $248.32	Facility		$103.88	$138.40	$248.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $166.28 / $195.62	Professional		$119.55	$166.28	$195.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.70 / $179.70 / $179.70	Professional		$179.70	$179.70	$179.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.17 / $139.66 / $254.17	Facility		$105.17	$139.66	$254.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $150.12 / $225.04	Professional		$107.71	$150.12	$225.04
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 $88.26 / $121.24 / $201.23	Professional		$88.26	$121.24	$201.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $106.03 / $144.69	Professional		$92.76	$106.03	$144.69