Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $1,000.00	Facility		$128.82	$316.23	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $234.42	Professional		$114.82	$154.88	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,511.89 / $3,981.07	Facility		$794.33	$2,511.89	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $107.15 / $128.82	Professional		$5.01	$107.15	$128.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $851.14	Facility		$125.89	$190.55	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $331.13	Professional		$87.10	$128.82	$331.13
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 / $194.98 / $831.76	Facility		$144.54	$194.98	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $154.88 / $239.88	Professional		$7.08	$154.88	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $407.38	Professional		$194.98	$208.93	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $537.03	Facility		$114.82	$194.98	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $302.00	Professional		$87.10	$141.25	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $194.98	Facility		$69.18	$81.28	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $131.83	Professional		$81.28	$81.28	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $194.98	Professional		$75.86	$75.86	$194.98