Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $2,128.00 / $7,513.00	Facility		$474.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $139.72 / $208.55	Professional		$118.15	$139.72	$208.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.36 / $616.98 / $1,385.30	Facility		$345.36	$616.98	$1,385.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $134.61 / $191.29	Professional		$112.80	$134.61	$191.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.09 / $112.09 / $122.78	Facility		$112.09	$112.09	$122.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $327.04 / $1,487.00	Facility		$142.06	$327.04	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $168.53 / $267.23	Professional		$127.08	$168.53	$267.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,344.10	Facility		$55.00	$55.00	$1,344.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.59 / $1,743.04 / $1,743.04	Professional		$1,705.59	$1,743.04	$1,743.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.30 / $157.16 / $281.14	Facility		$121.30	$157.16	$281.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.01 / $174.01 / $216.02	Professional		$132.01	$174.01	$216.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $214.60 / $305.50	Professional		$178.80	$214.60	$305.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.32 / $160.34 / $323.25	Facility		$121.32	$160.34	$323.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $181.96 / $319.74	Professional		$129.11	$181.96	$319.74
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,308.00	Facility		$157.00	$949.00	$2,308.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $139.25 / $214.22	Professional		$100.16	$139.25	$214.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $118.92 / $160.16	Professional		$102.42	$118.92	$160.16