Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.95 / $2,124.00 / $6,762.00	Facility		$314.95	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $245.87 / $347.84	Professional		$172.13	$245.87	$347.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.71 / $728.84 / $1,576.94	Facility		$388.71	$728.84	$1,576.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.08 / $245.84 / $407.40	Professional		$167.08	$245.84	$407.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $158.28 / $158.28 / $252.89	Facility		$158.28	$158.28	$252.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $391.93 / $1,652.00	Facility		$302.79	$391.93	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.38 / $286.55 / $475.00	Professional		$191.38	$286.55	$475.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,240.32 / $11,500.00 / $12,000.00	Facility		$1,240.32	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.20 / $2,186.33 / $2,401.00	Professional		$1,309.20	$2,186.33	$2,401.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.35 / $261.86 / $439.65	Facility		$177.35	$261.86	$439.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.18 / $314.98 / $449.78	Professional		$229.18	$314.98	$449.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $273.80 / $698.50	Professional		$5.00	$273.80	$698.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.35 / $263.98 / $494.76	Facility		$177.35	$263.98	$494.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $314.72 / $556.20	Professional		$196.25	$314.72	$556.20
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 $206.95 / $277.00 / $431.36	Professional		$206.95	$277.00	$431.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $251.40 / $340.98	Professional		$215.06	$251.40	$340.98