Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $354.81 / $1,000.00	Facility		$134.90	$354.81	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $323.59	Professional		$114.82	$158.49	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $524.81 / $1,000.00	Facility		$154.88	$524.81	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $104.71 / $263.03	Professional		$5.01	$104.71	$263.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $190.55 / $190.55	Facility		$79.43	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $398.11 / $812.83	Facility		$120.23	$398.11	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $354.81	Professional		$91.20	$181.97	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,445.44	Professional		$954.99	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $831.76	Facility		$144.54	$190.55	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $154.88 / $251.19	Professional		$7.94	$154.88	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $407.38	Professional		$190.55	$208.93	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $218.78 / $588.84	Facility		$131.83	$218.78	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $338.84	Professional		$91.20	$181.97	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $190.55	Facility		$69.18	$81.28	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $131.83	Professional		$75.86	$81.28	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $190.55	Professional		$75.86	$162.18	$190.55