Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $53.69 / $801.00	Facility		$14.71	$53.69	$801.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $123.36 / $229.79	Professional		$21.24	$123.36	$229.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $75.73 / $146.27	Facility		$30.18	$75.73	$146.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $134.24 / $258.72	Professional		$22.67	$134.24	$258.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $18.61 / $158.72	Facility		$18.50	$18.61	$158.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $32.03 / $301.87	Facility		$20.57	$32.03	$301.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $150.88 / $320.57	Professional		$23.37	$150.88	$320.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $258.35 / $258.35 / $279.42	Facility		$258.35	$258.35	$279.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $1,264.84 / $1,287.53	Professional		$572.00	$1,264.84	$1,287.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $106.88 / $278.02	Facility		$20.53	$106.88	$278.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $161.90 / $262.72	Professional		$24.33	$161.90	$262.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $144.66 / $271.57	Professional		$20.32	$144.66	$271.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $123.36 / $284.97	Facility		$20.59	$123.36	$284.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $156.24 / $380.14	Professional		$23.93	$156.24	$380.14
United Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $208.73 / $320.19	Professional		$156.22	$208.73	$320.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $146.79 / $199.69	Professional		$125.61	$146.79	$199.69