Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.17 / $2,128.00 / $7,513.00	Facility		$321.17	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $218.46 / $360.10	Professional		$164.10	$218.46	$360.10
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 $186.26 / $235.44 / $339.59	Professional		$186.26	$235.44	$339.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $197.97 / $197.97	Facility		$80.00	$197.97	$197.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $340.97 / $340.97	Facility		$340.97	$340.97	$340.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $260.85 / $401.14	Professional		$185.94	$260.85	$401.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,079.72	Facility		$55.00	$55.00	$1,079.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.48 / $1,775.63 / $2,115.08	Professional		$1,488.48	$1,775.63	$2,115.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.75 / $227.63 / $367.35	Facility		$178.75	$227.63	$367.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $326.20 / $431.31	Professional		$263.64	$326.20	$431.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.92 / $403.78 / $800.62	Professional		$241.92	$403.78	$800.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.14 / $229.61 / $399.06	Facility		$180.14	$229.61	$399.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $271.75 / $438.42	Professional		$194.71	$271.75	$438.42
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 $155.03 / $217.84 / $360.41	Professional		$155.03	$217.84	$360.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $231.33 / $326.63	Professional		$206.22	$231.33	$326.63