Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $1,051.20 / $2,946.00	Facility		$396.00	$1,051.20	$2,946.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $396.00 / $486.00	Professional		$336.00	$396.00	$486.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $1,100.22	Professional		$600.00	$600.00	$1,100.22
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 $200.75 / $934.35 / $2,673.96	Facility		$200.75	$934.35	$2,673.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $731.09 / $875.93	Professional		$159.72	$731.09	$875.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $2,850.00 / $2,850.00	Facility		$960.00	$2,850.00	$2,850.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,988.00 / $2,988.00 / $4,500.00	Professional		$2,988.00	$2,988.00	$4,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $600.00 / $810.00	Facility		$360.00	$600.00	$810.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $750.00	Professional		$600.00	$600.00	$750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $750.00 / $2,100.00	Professional		$390.00	$750.00	$2,100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $600.00 / $2,010.00	Facility		$301.35	$600.00	$2,010.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.42 / $600.00 / $834.00	Professional		$316.42	$600.00	$834.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $215.16	Professional		$126.57	$126.57	$215.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $180.36 / $600.00	Professional		$180.36	$180.36	$600.00