Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,107.00 / $6,762.00	Facility		$405.00	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $309.33 / $455.08	Professional		$191.74	$309.33	$455.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.76 / $386.19 / $1,554.91	Facility		$212.76	$386.19	$1,554.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $183.02 / $367.79	Facility		$183.02	$183.02	$367.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.62 / $362.16 / $2,530.00	Facility		$305.62	$362.16	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $346.86 / $566.62	Professional		$206.80	$346.86	$566.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,420.14	Facility		$55.00	$55.00	$1,420.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.32 / $2,543.60 / $3,017.85	Professional		$1,472.32	$2,543.60	$3,017.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.33 / $307.57 / $535.91	Facility		$193.33	$307.57	$535.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.29 / $397.28 / $621.83	Professional		$260.29	$397.28	$621.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $314.70 / $953.60	Professional		$5.00	$314.70	$953.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.68 / $313.70 / $554.19	Facility		$193.68	$313.70	$554.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.25 / $388.88 / $682.53	Professional		$218.25	$388.88	$682.53
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 $249.01 / $347.69 / $553.29	Professional		$249.01	$347.69	$553.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $344.32 / $467.38	Professional		$294.83	$344.32	$467.38