Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.52 / $2,124.00 / $6,762.00	Facility		$308.52	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.76 / $245.99 / $349.20	Professional		$179.76	$245.99	$349.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.88 / $693.50 / $1,576.94	Facility		$379.88	$693.50	$1,576.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $247.59 / $397.63	Professional		$174.19	$247.59	$397.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $164.58 / $164.58 / $247.08	Facility		$164.58	$164.58	$247.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $391.93 / $1,652.00	Facility		$317.00	$391.93	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.42 / $285.08 / $460.63	Professional		$199.42	$285.08	$460.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.66 / $11,500.00 / $12,000.00	Facility		$1,296.66	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.48 / $1,826.56 / $2,138.17	Professional		$1,368.48	$1,826.56	$2,138.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.44 / $261.17 / $435.58	Facility		$187.44	$261.17	$435.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.69 / $320.42 / $439.97	Professional		$239.69	$320.42	$439.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $292.30 / $679.70	Professional		$5.00	$292.30	$679.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $262.63 / $493.58	Facility		$187.57	$262.63	$493.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.91 / $308.69 / $550.32	Professional		$202.91	$308.69	$550.32
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $895.00 / $2,290.00	Facility		$146.00	$895.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $267.30 / $423.10	Professional		$197.75	$267.30	$423.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.36 / $245.88 / $333.37	Professional		$210.36	$245.88	$333.37