Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.36 / $2,107.00 / $6,762.00	Facility		$345.36	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $254.51 / $319.64	Professional		$168.37	$254.51	$319.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.11 / $326.39 / $1,314.15	Facility		$191.11	$326.39	$1,314.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $241.80 / $403.83	Professional		$154.08	$241.80	$403.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $148.22 / $148.22 / $148.22	Facility		$148.22	$148.22	$148.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.08 / $285.08 / $285.08	Facility		$285.08	$285.08	$285.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $289.18 / $475.92	Professional		$176.00	$289.18	$475.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,136.58	Facility		$55.00	$55.00	$1,136.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.83 / $1,830.48 / $2,143.28	Professional		$1,195.83	$1,830.48	$2,143.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $257.13 / $477.93	Facility		$163.69	$257.13	$477.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.99 / $299.01 / $444.24	Professional		$208.99	$299.01	$444.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Professional		$176.00	$176.00	$176.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $259.02 / $497.27	Facility		$161.96	$259.02	$497.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $299.80 / $512.94	Professional		$185.94	$299.80	$512.94
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,193.00 / $4,509.00	Facility		$564.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $287.74 / $449.52	Professional		$214.22	$287.74	$449.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.64 / $235.56 / $334.89	Professional		$210.64	$235.56	$334.89