Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.82 / $2,090.00 / $6,762.00	Facility		$237.82	$2,090.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $184.26 / $290.77	Professional		$122.67	$184.26	$290.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.54 / $570.84 / $1,273.83	Facility		$273.54	$570.84	$1,273.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $189.30 / $294.94	Professional		$116.66	$189.30	$294.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $114.16 / $207.18	Facility		$114.16	$114.16	$207.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $1,487.00 / $2,441.00	Facility		$213.62	$1,487.00	$2,441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $216.23 / $367.78	Professional		$136.50	$216.23	$367.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $897.18	Facility		$55.00	$55.00	$897.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $916.16 / $1,474.48 / $1,731.38	Professional		$916.16	$1,474.48	$1,731.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.51 / $198.63 / $326.92	Facility		$127.51	$198.63	$326.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $229.82 / $355.66	Professional		$160.63	$229.82	$355.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $252.80 / $540.50	Professional		$5.00	$252.80	$540.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.89 / $199.28 / $348.19	Facility		$127.89	$199.28	$348.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $239.62 / $429.98	Professional		$142.05	$239.62	$429.98
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 $155.52 / $207.88 / $332.61	Professional		$155.52	$207.88	$332.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $198.74 / $269.55	Professional		$170.05	$198.74	$269.55