Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.70 / $2,500.00 / $7,495.00	Facility		$374.70	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $275.31 / $395.92	Professional		$172.27	$275.31	$395.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.42 / $336.01 / $726.99	Facility		$191.42	$336.01	$726.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $286.88 / $495.07	Professional		$169.60	$286.88	$495.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $219.64 / $219.64 / $411.09	Facility		$219.64	$219.64	$411.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $178.18 / $2,213.00	Facility		$150.36	$178.18	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $318.39 / $515.00	Professional		$195.81	$318.39	$515.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.52 / $11,500.00 / $16,394.00	Facility		$1,259.52	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.20 / $2,209.12 / $2,633.25	Professional		$1,319.20	$2,209.12	$2,633.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.01 / $276.88 / $483.74	Facility		$174.01	$276.88	$483.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.22 / $335.12 / $536.96	Professional		$234.22	$335.12	$536.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $271.30 / $840.20	Professional		$5.00	$271.30	$840.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $279.63 / $501.82	Facility		$174.15	$279.63	$501.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.06 / $350.45 / $647.91	Professional		$202.06	$350.45	$647.91
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.42 / $318.67 / $492.82	Professional		$230.42	$318.67	$492.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $299.64 / $406.53	Professional		$256.74	$299.64	$406.53