Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.32 / $2,128.00 / $7,513.00	Facility		$300.32	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.93 / $203.94 / $336.72	Professional		$170.93	$203.94	$336.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $168.89 / $666.84	Facility		$94.80	$168.89	$666.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $220.97 / $331.65	Professional		$174.81	$220.97	$331.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $153.79 / $153.79	Facility		$80.00	$153.79	$153.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.20 / $320.20 / $320.20	Facility		$320.20	$320.20	$320.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $261.20 / $404.39	Professional		$187.02	$261.20	$404.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,003.30	Facility		$55.00	$55.00	$1,003.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.72 / $1,634.55 / $1,920.23	Professional		$1,238.72	$1,634.55	$1,920.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.87 / $242.58 / $386.08	Facility		$185.87	$242.58	$386.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.57 / $302.24 / $395.50	Professional		$245.57	$302.24	$395.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.39 / $334.48 / $722.80	Professional		$207.39	$334.48	$722.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.87 / $243.20 / $396.38	Facility		$185.87	$243.20	$396.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $279.12 / $424.96	Professional		$191.62	$279.12	$424.96
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 $169.02 / $225.58 / $357.62	Professional		$169.02	$225.58	$357.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $212.88 / $300.04	Professional		$189.10	$212.88	$300.04