Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.44 / $2,496.00 / $7,495.00	Facility		$371.44	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.43 / $278.58 / $401.69	Professional		$193.43	$278.58	$401.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.29 / $304.87 / $1,203.74	Facility		$184.29	$304.87	$1,203.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $265.06 / $462.47	Professional		$181.93	$265.06	$462.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $179.72 / $179.72 / $179.72	Facility		$179.72	$179.72	$179.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.56 / $259.56 / $259.56	Facility		$259.56	$259.56	$259.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.18 / $339.96 / $602.82	Professional		$220.18	$339.96	$602.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,388.40	Facility		$55.00	$55.00	$1,388.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.00 / $2,089.60 / $2,410.58	Professional		$1,494.00	$2,089.60	$2,410.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.50 / $327.58 / $588.86	Facility		$206.50	$327.58	$588.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $363.74 / $489.65	Professional		$255.24	$363.74	$489.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $312.70 / $312.70	Professional		$312.70	$312.70	$312.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.50 / $331.15 / $663.40	Facility		$206.50	$331.15	$663.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $350.41 / $626.92	Professional		$228.11	$350.41	$626.92
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.49 / $367.68 / $558.48	Professional		$248.49	$367.68	$558.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $238.80 / $269.27 / $379.32	Professional		$238.80	$269.27	$379.32