Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.53 / $2,107.00 / $6,762.00	Facility		$361.53	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $266.79 / $388.50	Professional		$185.00	$266.79	$388.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.47 / $383.45 / $1,543.89	Facility		$219.47	$383.45	$1,543.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.22 / $288.72 / $399.59	Professional		$182.22	$288.72	$399.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $184.80 / $306.49	Facility		$184.80	$184.80	$306.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.01 / $351.96 / $1,652.00	Facility		$297.01	$351.96	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.59 / $308.87 / $495.02	Professional		$191.59	$308.87	$495.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,380.12	Facility		$55.00	$55.00	$1,380.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.04 / $2,174.08 / $2,550.60	Professional		$1,401.04	$2,174.08	$2,550.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.20 / $252.76 / $462.40	Facility		$169.20	$252.76	$462.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.15 / $350.76 / $528.08	Professional		$245.15	$350.76	$528.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $160.69 / $863.40	Professional		$5.00	$160.69	$863.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.82 / $259.35 / $517.60	Facility		$170.82	$259.35	$517.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.17 / $342.49 / $610.79	Professional		$201.17	$342.49	$610.79
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.38 / $298.39 / $472.34	Professional		$214.38	$298.39	$472.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.39 / $292.89 / $398.22	Professional		$250.39	$292.89	$398.22