Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.87 / $2,124.00 / $6,762.00	Facility		$427.87	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $368.56 / $552.89	Professional		$202.19	$368.56	$552.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.90 / $364.69 / $609.30	Professional		$190.90	$364.69	$609.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $182.73 / $182.73 / $434.39	Facility		$182.73	$182.73	$434.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.61 / $702.60 / $1,652.00	Facility		$529.61	$702.60	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.15 / $403.94 / $733.36	Professional		$238.15	$403.94	$733.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,183.84 / $11,500.00 / $12,000.00	Facility		$1,183.84	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,812.00 / $2,887.76 / $3,361.50	Professional		$1,812.00	$2,887.76	$3,361.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.85 / $412.50 / $766.90	Facility		$211.85	$412.50	$766.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $427.33 / $699.26	Professional		$262.39	$427.33	$699.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.05 / $398.78 / $797.56	Professional		$201.05	$398.78	$797.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.93 / $418.72 / $784.60	Facility		$211.93	$418.72	$784.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.27 / $447.95 / $869.86	Professional		$244.27	$447.95	$869.86
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.89 / $445.42 / $718.83	Professional		$330.89	$445.42	$718.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.56 / $387.82 / $526.11	Professional		$331.56	$387.82	$526.11