Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.29 / $2,496.00 / $7,078.00	Facility		$240.29	$2,496.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.05 / $186.79 / $288.35	Professional		$116.05	$186.79	$288.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $165.58 / $684.71	Facility		$91.16	$165.58	$684.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.81 / $213.07 / $334.20	Professional		$134.81	$213.07	$334.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $130.27 / $220.99 / $220.99	Facility		$130.27	$220.99	$220.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.79 / $171.79 / $171.79	Facility		$171.79	$171.79	$171.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $228.76 / $347.85	Professional		$147.72	$228.76	$347.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $702.48	Facility		$55.00	$55.00	$702.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.56 / $1,596.80 / $1,958.55	Professional		$1,026.56	$1,596.80	$1,958.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $227.29 / $411.68	Facility		$146.74	$227.29	$411.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $267.13 / $397.67	Professional		$186.71	$267.13	$397.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $246.00 / $246.00	Professional		$246.00	$246.00	$246.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $229.91 / $411.68	Facility		$150.34	$229.91	$411.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $234.23 / $414.80	Professional		$153.60	$234.23	$414.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $228.89 / $372.78	Professional		$166.46	$228.89	$372.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.56 / $212.81 / $296.68	Professional		$188.56	$212.81	$296.68