Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.64 / $3,570.00 / $10,893.00	Facility		$318.64	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $220.19 / $328.54	Professional		$196.76	$220.19	$328.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.68 / $358.66 / $1,235.35	Facility		$219.68	$358.66	$1,235.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $227.27 / $330.75	Professional		$190.45	$227.27	$330.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $184.71 / $184.71 / $187.30	Facility		$184.71	$184.71	$187.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $2,024.00 / $4,619.00	Facility		$238.55	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.86 / $295.77 / $474.80	Professional		$218.86	$295.77	$474.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,673.70	Facility		$55.00	$55.00	$1,673.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.05 / $1,798.05 / $1,798.05	Professional		$1,798.05	$1,798.05	$1,798.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.42 / $263.92 / $468.47	Facility		$204.42	$263.92	$468.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.35 / $311.77 / $366.80	Professional		$234.35	$311.77	$366.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $291.70 / $526.90	Professional		$182.21	$291.70	$526.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.42 / $264.83 / $486.43	Facility		$204.42	$264.83	$486.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.18 / $311.97 / $530.70	Professional		$226.18	$311.97	$530.70
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $235.37 / $372.33	Professional		$175.77	$235.37	$372.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $203.51 / $275.02	Professional		$173.92	$203.51	$275.02