Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.39 / $2,124.00 / $7,513.00	Facility		$222.39	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $162.12 / $255.41	Professional		$120.11	$162.12	$255.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $131.01 / $519.66	Facility		$77.73	$131.01	$519.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.14 / $169.55 / $264.05	Professional		$123.14	$169.55	$264.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $113.61 / $117.63	Facility		$80.00	$113.61	$117.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.88 / $224.88 / $224.88	Facility		$224.88	$224.88	$224.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $210.75 / $328.23	Professional		$145.72	$210.75	$328.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $640.11	Facility		$55.00	$55.00	$640.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $932.32 / $1,142.33 / $1,563.83	Professional		$932.32	$1,142.33	$1,563.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $181.38 / $309.99	Facility		$127.44	$181.38	$309.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.78 / $230.44 / $329.70	Professional		$167.78	$230.44	$329.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $210.13 / $296.87	Professional		$137.22	$210.13	$296.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.52 / $184.41 / $314.86	Facility		$127.52	$184.41	$314.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $219.75 / $350.21	Professional		$147.05	$219.75	$350.21
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.26 / $191.78 / $312.29	Professional		$142.26	$191.78	$312.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $171.07 / $238.22	Professional		$151.29	$171.07	$238.22