Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.37 / $2,128.00 / $7,513.00	Facility		$313.37	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $241.60 / $355.76	Professional		$146.72	$241.60	$355.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.35 / $273.05 / $1,088.86	Facility		$158.35	$273.05	$1,088.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.51 / $231.91 / $350.37	Professional		$142.51	$231.91	$350.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $138.77 / $139.72	Facility		$80.00	$138.77	$139.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.50 / $261.50 / $261.50	Facility		$261.50	$261.50	$261.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.23 / $274.32 / $450.46	Professional		$170.23	$274.32	$450.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,092.30	Facility		$55.00	$55.00	$1,092.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.52 / $1,826.96 / $2,149.88	Professional		$1,125.52	$1,826.96	$2,149.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.56 / $244.62 / $383.91	Facility		$151.56	$244.62	$383.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $284.20 / $444.83	Professional		$197.64	$284.20	$444.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $195.10 / $195.10	Professional		$195.10	$195.10	$195.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.56 / $246.46 / $384.41	Facility		$151.56	$246.46	$384.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $290.57 / $494.08	Professional		$172.88	$290.57	$494.08
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.18 / $274.01 / $421.06	Professional		$198.18	$274.01	$421.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.92 / $237.17 / $334.40	Professional		$210.92	$237.17	$334.40