Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $135.26 / $16,640.00	Facility		$132.91	$135.26	$16,640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $135.26 / $169.79	Professional		$101.80	$135.26	$169.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $14.77 / $31.63	Facility		$8.71	$14.77	$31.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $10,323.62 / $10,323.62	Facility		$121.37	$10,323.62	$10,323.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.58 / $200.58 / $200.58	Facility		$200.58	$200.58	$200.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $345.72 / $681.16 / $1,535.21	Facility		$345.72	$681.16	$1,535.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $923.86 / $1,667.93 / $1,978.96	Professional		$923.86	$1,667.93	$1,978.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.62 / $310.26 / $448.15	Facility		$128.62	$310.26	$448.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.01 / $324.01 / $775.64	Professional		$324.01	$324.01	$775.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $245.46 / $418.77	Professional		$148.10	$245.46	$418.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.62 / $281.79 / $448.15	Facility		$128.62	$281.79	$448.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $342.87	Professional		$342.87	$342.87	$342.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $344.73 / $465.39	Professional		$7.06	$344.73	$465.39