Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.47 / $2,080.00 / $6,762.00	Facility		$263.47	$2,080.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $200.87 / $288.02	Professional		$116.73	$200.87	$288.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.04 / $236.63 / $934.76	Facility		$151.04	$236.63	$934.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $178.02 / $283.29	Professional		$103.46	$178.02	$283.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.83 / $107.83 / $207.54	Facility		$107.83	$107.83	$207.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.13 / $231.24 / $2,530.00	Facility		$195.13	$231.24	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $227.25 / $394.60	Professional		$131.47	$227.25	$394.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $862.86	Facility		$55.00	$55.00	$862.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $893.12 / $1,573.12 / $1,837.28	Professional		$893.12	$1,573.12	$1,837.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.44 / $210.31 / $345.60	Facility		$122.44	$210.31	$345.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $241.02 / $381.37	Professional		$155.58	$241.02	$381.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $193.70 / $596.20	Professional		$5.00	$193.70	$596.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.64 / $211.75 / $371.67	Facility		$122.64	$211.75	$371.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $251.32 / $466.04	Professional		$138.71	$251.32	$466.04
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 $169.92 / $234.23 / $362.24	Professional		$169.92	$234.23	$362.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $211.54 / $287.36	Professional		$180.82	$211.54	$287.36