Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $3,445.00 / $12,281.00	Facility		$153.13	$3,445.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $166.40 / $258.54	Professional		$89.28	$166.40	$258.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.75 / $281.45 / $528.16	Facility		$119.75	$281.45	$528.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $108.49 / $179.36	Professional		$78.44	$108.49	$179.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $185.82 / $214.60	Facility		$79.16	$185.82	$214.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $112.42 / $193.04	Facility		$85.50	$112.42	$193.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $209.16 / $359.12	Professional		$104.63	$209.16	$359.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $449.61 / $493.19 / $493.19	Facility		$449.61	$493.19	$493.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $850.48 / $1,374.61 / $1,928.93	Professional		$850.48	$1,374.61	$1,928.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $203.92 / $301.63	Facility		$96.45	$203.92	$301.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $220.04 / $417.53	Professional		$124.89	$220.04	$417.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $225.64 / $413.65	Professional		$94.09	$225.64	$413.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.51 / $204.47 / $302.92	Facility		$96.51	$204.47	$302.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $229.77 / $446.17	Professional		$109.06	$229.77	$446.17
United Facility/Professional Professional Modifier Low / Median / High Price $175.34 / $228.35 / $368.86	Professional		$175.34	$228.35	$368.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.59 / $215.45 / $304.94	Professional		$191.59	$215.45	$304.94