Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $2,131.00 / $7,513.00	Facility		$466.00	$2,131.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.56 / $242.81 / $345.47	Professional		$218.56	$242.81	$345.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $893.76 / $1,576.63 / $3,585.07	Facility		$893.76	$1,576.63	$3,585.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $198.89 / $198.89 / $201.57	Facility		$198.89	$198.89	$201.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $3,125.00	Facility		$684.87	$908.58	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.32 / $296.81 / $468.21	Professional		$228.32	$296.81	$468.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,590.15	Facility		$55.00	$55.00	$3,590.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,646.24 / $1,689.04 / $1,879.65	Professional		$1,646.24	$1,689.04	$1,879.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $214.80 / $252.29 / $514.17	Facility		$214.80	$252.29	$514.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.57 / $336.03 / $408.51	Professional		$252.57	$336.03	$408.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.79 / $262.97 / $439.20	Professional		$203.79	$262.97	$439.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.24 / $259.87 / $576.64	Facility		$215.24	$259.87	$576.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.63 / $319.64 / $570.79	Professional		$237.63	$319.64	$570.79
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $262.20 / $422.75	Professional		$191.13	$262.20	$422.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $219.36 / $296.45	Professional		$187.45	$219.36	$296.45