Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,124.00 / $6,762.00	Facility		$428.00	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $392.54 / $565.16	Professional		$293.27	$392.54	$565.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.71 / $702.33 / $1,576.94	Facility		$388.71	$702.33	$1,576.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $319.63 / $508.64	Professional		$238.25	$319.63	$508.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $273.07 / $273.07 / $397.62	Facility		$273.07	$273.07	$397.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.74 / $391.93 / $1,652.00	Facility		$330.74	$391.93	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $472.23 / $751.81	Professional		$318.77	$472.23	$751.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,093.16 / $11,500.00 / $12,000.00	Facility		$2,093.16	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,221.36 / $2,927.52 / $3,371.93	Professional		$2,221.36	$2,927.52	$3,371.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.12 / $437.08 / $742.33	Facility		$307.12	$437.08	$742.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.76 / $509.24 / $699.22	Professional		$384.76	$509.24	$699.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $412.10 / $1,054.90	Professional		$5.00	$412.10	$1,054.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.39 / $439.68 / $818.31	Facility		$309.39	$439.68	$818.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.61 / $515.00 / $906.18	Professional		$340.61	$515.00	$906.18
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $822.00 / $2,290.00	Facility		$146.00	$822.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.25 / $460.50 / $711.69	Professional		$339.25	$460.50	$711.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.32 / $391.44 / $531.02	Professional		$334.32	$391.44	$531.02