Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.15 / $2,124.00 / $6,762.00	Facility		$339.15	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $234.08 / $339.15	Professional		$88.00	$234.08	$339.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.21 / $538.84	Professional		$87.10	$177.21	$538.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $76.88 / $76.88	Facility		$76.88	$76.88	$76.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $263.61 / $460.52	Professional		$100.42	$263.61	$460.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $462.65	Facility		$55.00	$55.00	$462.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $939.44 / $1,743.44 / $2,073.38	Professional		$939.44	$1,743.44	$2,073.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $236.20 / $416.57	Facility		$91.00	$236.20	$416.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $149.43 / $414.93	Professional		$111.01	$149.43	$414.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $230.55 / $445.03	Professional		$84.71	$230.55	$445.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $237.47 / $505.89	Facility		$91.00	$237.47	$505.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $283.98 / $478.34	Professional		$100.93	$283.98	$478.34
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 $222.77 / $302.05 / $485.66	Professional		$222.77	$302.05	$485.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.36 / $227.04 / $320.58	Professional		$202.36	$227.04	$320.58