Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $231.05 / $17,222.09	Facility		$123.03	$231.05	$17,222.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $132.46 / $272.04	Professional		$120.66	$132.46	$272.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.56 / $277.56 / $277.56	Professional		$277.56	$277.56	$277.56
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 $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.58 / $1,271.33 / $1,271.33	Facility		$1,226.58	$1,271.33	$1,271.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.79 / $1,503.79 / $1,960.28	Professional		$1,503.79	$1,503.79	$1,960.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $235.37 / $418.95	Facility		$137.13	$235.37	$418.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.40 / $161.40 / $211.83	Professional		$161.40	$161.40	$211.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.70 / $193.70 / $193.70	Professional		$193.70	$193.70	$193.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $237.66 / $482.61	Facility		$153.44	$237.66	$482.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
United Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $150.06 / $372.49	Professional		$125.05	$150.06	$372.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $303.30 / $428.57	Professional		$301.04	$303.30	$428.57