Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.93 / $2,124.00 / $6,762.00	Facility		$211.93	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.21 / $168.06 / $240.14	Professional		$130.21	$168.06	$240.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.30 / $702.33 / $1,576.94	Facility		$384.30	$702.33	$1,576.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $165.60 / $254.52	Professional		$125.62	$165.60	$254.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.35 / $124.35 / $176.92	Facility		$124.35	$124.35	$176.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.43 / $391.93 / $1,652.00	Facility		$295.43	$391.93	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $198.13 / $327.37	Professional		$140.54	$198.13	$327.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $940.08 / $11,500.00 / $12,000.00	Facility		$940.08	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $994.96 / $1,240.72 / $1,433.55	Professional		$994.96	$1,240.72	$1,433.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $176.66 / $307.57	Facility		$132.44	$176.66	$307.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $224.45 / $299.27	Professional		$172.82	$224.45	$299.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $195.40 / $457.00	Professional		$5.00	$195.40	$457.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $178.44 / $349.59	Facility		$132.44	$178.44	$349.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $218.49 / $393.79	Professional		$145.26	$218.49	$393.79
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.31 / $184.32 / $290.49	Professional		$137.31	$184.32	$290.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $166.11 / $225.40	Professional		$141.90	$166.11	$225.40