Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $2,128.00 / $7,513.00	Facility		$416.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.62 / $350.96 / $537.20	Professional		$246.62	$350.96	$537.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.26 / $413.02 / $1,652.09	Facility		$240.26	$413.02	$1,652.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.85 / $341.97 / $571.50	Professional		$238.85	$341.97	$571.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $237.78 / $238.19	Facility		$80.00	$237.78	$238.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.75 / $441.75 / $441.75	Facility		$441.75	$441.75	$441.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.30 / $434.32 / $686.18	Professional		$291.30	$434.32	$686.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,846.50	Facility		$55.00	$55.00	$1,846.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,930.64 / $2,720.40 / $3,154.58	Professional		$1,930.64	$2,720.40	$3,154.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.95 / $387.77 / $627.27	Facility		$266.95	$387.77	$627.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.57 / $474.75 / $657.34	Professional		$335.57	$474.75	$657.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.10 / $330.10 / $330.10	Professional		$330.10	$330.10	$330.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.12 / $390.33 / $637.53	Facility		$270.12	$390.33	$637.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.13 / $463.65 / $732.46	Professional		$296.13	$463.65	$732.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $413.14 / $652.32	Professional		$307.58	$413.14	$652.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.68 / $350.92 / $495.00	Professional		$311.68	$350.92	$495.00