Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.74 / $2,124.00 / $7,316.00	Facility		$308.74	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $206.15 / $416.36	Professional		$112.23	$206.15	$416.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.91 / $207.75 / $836.48	Facility		$118.91	$207.75	$836.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $222.70 / $385.03	Professional		$107.98	$222.70	$385.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $253.11	Facility		$97.79	$97.79	$253.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.10 / $197.10 / $203.54	Facility		$197.10	$197.10	$203.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $244.94 / $402.84	Professional		$116.55	$244.94	$402.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $828.78	Facility		$55.00	$55.00	$828.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $960.22 / $2,149.80 / $2,462.08	Professional		$960.22	$2,149.80	$2,462.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $237.49 / $409.87	Facility		$107.28	$237.49	$409.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.05 / $188.62 / $397.98	Professional		$122.05	$188.62	$397.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $237.49 / $301.89	Professional		$108.30	$237.49	$301.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.31 / $237.49 / $420.06	Facility		$107.31	$237.49	$420.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $245.65 / $406.49	Professional		$118.68	$245.65	$406.49
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $260.89 / $383.39	Professional		$194.34	$260.89	$383.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $237.49 / $338.00	Professional		$212.29	$237.49	$338.00