Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.31 / $388.22 / $3,867.00	Facility		$160.31	$388.22	$3,867.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $213.90 / $263.19	Professional		$160.31	$213.90	$263.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.80 / $397.06 / $729.10	Facility		$150.80	$397.06	$729.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $140.47 / $165.27	Professional		$90.26	$140.47	$165.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $875.00 / $1,094.00	Facility		$700.00	$875.00	$1,094.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $359.86 / $1,027.33 / $1,027.33	Facility		$359.86	$1,027.33	$1,027.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.73 / $1,234.73 / $1,584.08	Professional		$1,234.73	$1,234.73	$1,584.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.43 / $218.89 / $348.04	Facility		$158.43	$218.89	$348.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.18 / $171.18 / $171.18	Professional		$171.18	$171.18	$171.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $396.40 / $619.73	Professional		$314.61	$396.40	$619.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.31 / $225.80 / $353.61	Facility		$160.31	$225.80	$353.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $300.32	Professional		$146.27	$146.27	$300.32
United Facility/Professional Professional Modifier Low / Median / High Price $157.15 / $215.01 / $329.59	Professional		$157.15	$215.01	$329.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $148.97 / $242.80	Professional		$119.18	$148.97	$242.80