Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.21 / $3,445.00 / $8,883.00	Facility		$98.21	$3,445.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $122.57 / $187.55	Professional		$58.34	$122.57	$187.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.19 / $165.66 / $671.43	Facility		$97.19	$165.66	$671.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $116.09 / $211.39	Professional		$58.08	$116.09	$211.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.04 / $143.55 / $143.55	Facility		$56.04	$143.55	$143.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.30 / $152.30 / $152.30	Facility		$152.30	$152.30	$152.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $143.88 / $240.18	Professional		$68.88	$143.88	$240.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $445.80	Facility		$55.00	$55.00	$445.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $536.85 / $1,018.80 / $1,199.63	Professional		$536.85	$1,018.80	$1,199.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $137.47 / $233.00	Facility		$64.45	$137.47	$233.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $151.58 / $248.04	Professional		$82.42	$151.58	$248.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $120.30 / $120.30	Professional		$120.30	$120.30	$120.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.47 / $138.32 / $238.13	Facility		$64.47	$138.32	$238.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $148.32 / $265.07	Professional		$70.42	$148.32	$265.07
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,045.00 / $4,509.00	Facility		$564.00	$2,045.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $157.50 / $242.46	Professional		$115.49	$157.50	$242.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $131.68 / $186.73	Professional		$117.61	$131.68	$186.73