Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.52 / $952.07 / $3,867.00	Facility		$102.52	$952.07	$3,867.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $127.24 / $165.00	Professional		$102.52	$127.24	$165.00
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 $48.34 / $92.41 / $108.72	Professional		$48.34	$92.41	$108.72
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 $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.77 / $680.63 / $680.63	Facility		$219.77	$680.63	$680.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $858.36 / $858.36 / $967.43	Professional		$858.36	$858.36	$967.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.52 / $142.19 / $217.34	Facility		$102.52	$142.19	$217.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $104.54 / $104.54	Professional		$104.54	$104.54	$104.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $613.16 / $791.00 / $1,236.83	Professional		$613.16	$791.00	$1,236.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.52 / $150.00 / $242.00	Facility		$102.52	$150.00	$242.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $170.31	Professional		$88.53	$88.53	$170.31
United Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $180.17 / $289.57	Professional		$128.53	$180.17	$289.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $113.44 / $171.58	Professional		$90.75	$113.44	$171.58