Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $2,124.00 / $7,316.00	Facility		$236.62	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $165.04 / $251.05	Professional		$130.38	$165.04	$251.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $132.09 / $538.92	Facility		$77.66	$132.09	$538.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $172.20 / $241.25	Professional		$136.05	$172.20	$241.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.84 / $126.84 / $162.18	Facility		$126.84	$126.84	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.72 / $106.72 / $110.21	Facility		$106.72	$106.72	$110.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $187.48 / $295.77	Professional		$143.36	$187.48	$295.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,026.06	Facility		$55.00	$55.00	$1,026.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.96 / $1,310.70 / $2,268.59	Professional		$1,088.96	$1,310.70	$2,268.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.51 / $188.40 / $320.23	Facility		$142.51	$188.40	$320.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $217.37 / $260.10	Professional		$159.40	$217.37	$260.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $307.50 / $307.50 / $307.50	Professional		$307.50	$307.50	$307.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $189.63 / $322.20	Facility		$142.06	$189.63	$322.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.52 / $192.80 / $295.26	Professional		$146.52	$192.80	$295.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.23 / $160.96 / $237.92	Professional		$121.23	$160.96	$237.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $147.88 / $207.41	Professional		$130.58	$147.88	$207.41