Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.77 / $3,682.00 / $12,281.00	Facility		$297.77	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $188.34 / $301.85	Professional		$160.88	$188.34	$301.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.29 / $219.34 / $298.89	Professional		$173.29	$219.34	$298.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $166.83 / $176.08	Facility		$80.00	$166.83	$176.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $217.92	Facility		$217.92	$217.92	$217.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.40 / $261.70 / $400.67	Professional		$196.40	$261.70	$400.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $5,000.00	Facility		$55.00	$1,300.00	$5,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,853.67 / $3,853.67 / $3,853.67	Professional		$3,853.67	$3,853.67	$3,853.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.47 / $245.76 / $425.52	Facility		$180.47	$245.76	$425.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.69 / $278.02 / $344.75	Professional		$231.69	$278.02	$344.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.99 / $271.39 / $342.11	Professional		$191.99	$271.39	$342.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.47 / $248.35 / $436.39	Facility		$180.47	$248.35	$436.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.40 / $271.79 / $403.24	Professional		$196.40	$271.79	$403.24
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $203.35 / $332.02	Professional		$152.96	$203.35	$332.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $180.47 / $246.85	Professional		$158.19	$180.47	$246.85