Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.95 / $2,496.00 / $7,495.00	Facility		$254.95	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $191.19 / $262.25	Professional		$118.66	$191.19	$262.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.32 / $241.36 / $971.79	Facility		$141.32	$241.36	$971.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $199.73 / $330.24	Professional		$122.57	$199.73	$330.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.49 / $1,783.77 / $1,783.77	Facility		$116.49	$1,783.77	$1,783.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.34 / $223.34 / $223.34	Facility		$223.34	$223.34	$223.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $222.22 / $379.76	Professional		$137.03	$222.22	$379.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $891.72	Facility		$55.00	$55.00	$891.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $937.76 / $1,493.68 / $1,755.90	Professional		$937.76	$1,493.68	$1,755.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.41 / $210.36 / $370.42	Facility		$127.41	$210.36	$370.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $235.23 / $363.31	Professional		$164.41	$235.23	$363.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.30 / $176.30 / $176.30	Professional		$176.30	$176.30	$176.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.41 / $212.19 / $397.49	Facility		$127.41	$212.19	$397.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $233.38 / $402.51	Professional		$140.91	$233.38	$402.51
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $229.55 / $349.29	Professional		$171.66	$229.55	$349.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $192.90 / $273.58	Professional		$172.26	$192.90	$273.58