Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.77 / $2,124.00 / $7,316.00	Facility		$365.77	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $229.05 / $406.79	Professional		$193.36	$229.05	$406.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $168.89 / $666.84	Facility		$95.88	$168.89	$666.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $264.11 / $369.10	Professional		$209.30	$264.11	$369.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $218.84 / $218.84	Facility		$80.00	$218.84	$218.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.97 / $383.97 / $383.97	Facility		$383.97	$383.97	$383.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.60 / $288.95 / $449.89	Professional		$218.60	$288.95	$449.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,214.81	Facility		$55.00	$55.00	$1,214.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,679.76 / $1,799.76 / $2,103.00	Professional		$1,679.76	$1,799.76	$2,103.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $260.85 / $410.41	Facility		$210.00	$260.85	$410.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $285.05 / $342.06 / $430.15	Professional		$285.05	$342.06	$430.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $385.75 / $541.77	Professional		$261.22	$385.75	$541.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.51 / $262.48 / $433.23	Facility		$210.51	$262.48	$433.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.62 / $304.93 / $471.48	Professional		$225.62	$304.93	$471.48
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $238.19 / $371.05	Professional		$179.55	$238.19	$371.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.67 / $231.27 / $325.76	Professional		$205.67	$231.27	$325.76