Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.81 / $2,124.00 / $7,316.00	Facility		$352.81	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.28 / $247.74 / $414.79	Professional		$159.28	$247.74	$414.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $241.32 / $345.04	Professional		$150.99	$241.32	$345.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $139.91 / $262.55	Facility		$139.91	$139.91	$262.55
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 $167.13 / $253.99 / $397.50	Professional		$167.13	$253.99	$397.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,130.09	Facility		$55.00	$55.00	$1,130.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.72 / $2,131.28 / $2,342.56	Professional		$1,200.72	$2,131.28	$2,342.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.38 / $253.19 / $414.80	Facility		$154.38	$253.19	$414.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $271.10 / $395.92	Professional		$175.42	$271.10	$395.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $253.33 / $308.58	Professional		$156.16	$253.33	$308.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $253.19 / $426.61	Facility		$154.50	$253.19	$426.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $261.33 / $413.74	Professional		$172.21	$261.33	$413.74
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,376.00	Facility		$157.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.05 / $259.48 / $367.42	Professional		$191.05	$259.48	$367.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.19 / $237.54 / $335.85	Professional		$211.19	$237.54	$335.85