Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.49 / $3,682.00 / $12,281.00	Facility		$321.49	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $202.13 / $348.76	Professional		$164.95	$202.13	$348.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,161.47 / $5,162.43 / $8,698.36	Facility		$3,161.47	$5,162.43	$8,698.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $239.60 / $326.50	Professional		$189.30	$239.60	$326.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $182.42 / $194.53	Facility		$80.00	$182.42	$194.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.11 / $234.11 / $234.11	Facility		$234.11	$234.11	$234.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $285.14 / $426.51	Professional		$210.44	$285.14	$426.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,272.08 / $5,000.00	Facility		$55.00	$4,272.08	$5,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,485.49 / $3,485.49 / $3,485.49	Professional		$3,485.49	$3,485.49	$3,485.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.60 / $259.87 / $464.41	Facility		$194.60	$259.87	$464.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.69 / $300.83 / $373.02	Professional		$250.69	$300.83	$373.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $266.30 / $266.30	Professional		$266.30	$266.30	$266.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.84 / $262.31 / $468.19	Facility		$194.84	$262.31	$468.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $291.61 / $434.80	Professional		$210.44	$291.61	$434.80
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $3,103.00	Facility		$161.00	$950.00	$3,103.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $225.92 / $366.27	Professional		$164.97	$225.92	$366.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $194.84 / $265.55	Professional		$171.16	$194.84	$265.55