Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $3,596.00 / $10,836.00	Facility		$197.04	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $119.67 / $185.10	Professional		$101.52	$119.67	$185.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.71 / $219.12 / $1,123.30	Facility		$127.71	$219.12	$1,123.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $147.05 / $225.03	Professional		$115.73	$147.05	$225.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $111.97 / $111.97	Facility		$111.97	$111.97	$111.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $174.95 / $252.41	Professional		$134.77	$174.95	$252.41
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 $883.32 / $883.32 / $1,123.34	Professional		$883.32	$883.32	$1,123.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $158.99 / $284.99	Facility		$116.00	$158.99	$284.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $188.07 / $221.26	Professional		$135.21	$188.07	$221.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $152.10 / $152.10	Professional		$152.10	$152.10	$152.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $161.07 / $288.14	Facility		$116.00	$161.07	$288.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $174.95 / $255.14	Professional		$135.08	$174.95	$255.14
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $145.63 / $225.17	Professional		$105.96	$145.63	$225.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $119.42 / $162.80	Professional		$104.91	$119.42	$162.80