Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $2,166.00 / $7,513.00	Facility		$487.00	$2,166.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.53 / $244.86 / $348.96	Professional		$220.53	$244.86	$348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $252.76 / $363.61	Professional		$207.26	$252.76	$363.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $200.56 / $200.56 / $203.22	Facility		$200.56	$200.56	$203.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.61 / $702.60 / $3,125.00	Facility		$529.61	$702.60	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $299.36 / $472.38	Professional		$230.28	$299.36	$472.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,776.25	Facility		$55.00	$55.00	$2,776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,661.36 / $1,704.64 / $1,895.63	Professional		$1,661.36	$1,704.64	$1,895.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $254.46 / $518.79	Facility		$216.74	$254.46	$518.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.81 / $339.00 / $412.12	Professional		$254.81	$339.00	$412.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.48 / $265.32 / $443.12	Professional		$205.48	$265.32	$443.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $261.94 / $581.79	Facility		$217.09	$261.94	$581.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.84 / $322.42 / $575.69	Professional		$239.84	$322.42	$575.69
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 $192.86 / $264.86 / $427.19	Professional		$192.86	$264.86	$427.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $221.32 / $299.11	Professional		$189.10	$221.32	$299.11