Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.68 / $2,496.00 / $7,495.00	Facility		$305.68	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $245.14 / $358.45	Professional		$160.59	$245.14	$358.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $285.56 / $1,065.28	Facility		$170.20	$285.56	$1,065.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $237.00 / $394.03	Professional		$149.59	$237.00	$394.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $146.21 / $354.16 / $354.16	Facility		$146.21	$354.16	$354.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.96 / $240.51 / $2,213.00	Facility		$202.96	$240.51	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $289.79 / $487.26	Professional		$178.88	$289.79	$487.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,135.14	Facility		$55.00	$55.00	$1,135.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.96 / $1,822.40 / $2,117.17	Professional		$1,182.96	$1,822.40	$2,117.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.08 / $261.99 / $455.82	Facility		$166.08	$261.99	$455.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $294.20 / $440.75	Professional		$205.62	$294.20	$440.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $270.30 / $692.10	Professional		$5.00	$270.30	$692.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.29 / $263.31 / $478.52	Facility		$166.29	$263.31	$478.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.95 / $315.58 / $560.42	Professional		$186.95	$315.58	$560.42
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 $215.09 / $288.75 / $453.14	Professional		$215.09	$288.75	$453.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.98 / $244.53 / $331.90	Professional		$208.98	$244.53	$331.90