Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,236.00 / $7,542.00	Facility		$488.00	$2,236.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $109.12 / $168.41	Professional		$92.19	$109.12	$168.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $132.85 / $185.09	Professional		$105.29	$132.85	$185.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.73 / $107.73 / $107.73	Facility		$107.73	$107.73	$107.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.62 / $533.62 / $533.62	Facility		$533.62	$533.62	$533.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $157.16 / $234.78	Professional		$118.65	$157.16	$234.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,108.55	Facility		$55.00	$55.00	$2,108.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $792.87 / $803.12 / $1,018.95	Professional		$792.87	$803.12	$1,018.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.22 / $135.32 / $254.42	Facility		$107.22	$135.32	$254.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $171.73 / $202.03	Professional		$145.91	$171.73	$202.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $175.50 / $175.50	Professional		$175.50	$175.50	$175.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.22 / $138.36 / $261.67	Facility		$107.22	$138.36	$261.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $157.55 / $245.84	Professional		$119.59	$157.55	$245.84
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 $90.99 / $128.60 / $199.39	Professional		$90.99	$128.60	$199.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $108.65 / $149.22	Professional		$95.79	$108.65	$149.22