Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.27 / $2,107.00 / $6,762.00	Facility		$432.27	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $384.19 / $534.47	Professional		$271.45	$384.19	$534.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.30 / $455.06 / $1,686.54	Facility		$263.30	$455.06	$1,686.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.95 / $378.15 / $605.12	Professional		$254.95	$378.15	$605.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $254.42 / $254.42 / $410.52	Facility		$254.42	$254.42	$410.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.43 / $418.82 / $1,652.00	Facility		$353.43	$418.82	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.54 / $427.02 / $691.00	Professional		$282.54	$427.02	$691.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,951.20	Facility		$55.00	$55.00	$1,951.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,992.96 / $2,909.20 / $3,384.83	Professional		$1,992.96	$2,909.20	$3,384.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.42 / $370.98 / $663.65	Facility		$256.42	$370.98	$663.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.92 / $496.36 / $703.93	Professional		$346.92	$496.36	$703.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $283.10 / $1,121.30	Professional		$5.00	$283.10	$1,121.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.60 / $375.64 / $755.80	Facility		$257.60	$375.64	$755.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.10 / $470.82 / $859.02	Professional		$293.10	$470.82	$859.02
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,475.00	Facility		$597.00	$2,045.00	$4,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.29 / $413.23 / $646.27	Professional		$302.29	$413.23	$646.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $333.77 / $390.59 / $530.54	Professional		$333.77	$390.59	$530.54