Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $2,107.00 / $6,762.00	Facility		$474.00	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.80 / $430.74 / $611.05	Professional		$299.80	$430.74	$611.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $488.29 / $1,891.33	Facility		$273.60	$488.29	$1,891.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $433.18 / $671.97	Professional		$288.89	$433.18	$671.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $286.08 / $286.08 / $486.13	Facility		$286.08	$286.08	$486.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.43 / $463.85 / $2,530.00	Facility		$391.43	$463.85	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $478.19 / $777.78	Professional		$319.20	$478.19	$777.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,208.96	Facility		$55.00	$55.00	$2,208.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,264.96 / $3,355.36 / $3,970.35	Professional		$2,264.96	$3,355.36	$3,970.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.17 / $438.35 / $726.34	Facility		$306.17	$438.35	$726.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $399.48 / $571.55 / $819.22	Professional		$399.48	$571.55	$819.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $407.40 / $1,258.90	Professional		$5.00	$407.40	$1,258.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.75 / $442.68 / $835.39	Facility		$306.75	$442.68	$835.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.59 / $531.32 / $960.96	Professional		$332.59	$531.32	$960.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.18 / $462.26 / $730.50	Professional		$330.18	$462.26	$730.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.43 / $453.70 / $615.74	Professional		$388.43	$453.70	$615.74