Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.92 / $2,124.00 / $6,762.00	Facility		$429.92	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $273.29 / $469.20	Professional		$133.94	$273.29	$469.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.98 / $323.79 / $690.34	Facility		$166.98	$323.79	$690.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $307.10 / $566.14	Professional		$122.83	$307.10	$566.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.15 / $123.81 / $123.81	Facility		$117.15	$123.81	$123.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.18 / $178.18 / $178.18	Facility		$178.18	$178.18	$178.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $324.54 / $539.76	Professional		$145.78	$324.54	$539.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $894.84 / $12,000.00 / $12,000.00	Facility		$894.84	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.78 / $2,692.08 / $3,181.88	Professional		$1,427.78	$2,692.08	$3,181.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $303.02 / $522.63	Facility		$136.22	$303.02	$522.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $401.36 / $638.52	Professional		$166.52	$401.36	$638.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.10 / $341.10 / $341.10	Professional		$341.10	$341.10	$341.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $304.99 / $548.22	Facility		$135.19	$304.99	$548.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $359.40 / $593.54	Professional		$150.88	$359.40	$593.54
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $362.34 / $580.49	Professional		$264.62	$362.34	$580.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.41 / $349.01 / $494.01	Professional		$311.41	$349.01	$494.01