Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.33 / $3,570.00 / $10,893.00	Facility		$256.33	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $173.52 / $261.68	Professional		$154.49	$173.52	$261.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $195.63 / $272.49	Professional		$154.52	$195.63	$272.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $149.18 / $149.18 / $156.50	Facility		$149.18	$149.18	$156.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $2,277.00 / $4,619.00	Facility		$192.58	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $227.84 / $348.99	Professional		$173.88	$227.84	$348.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.29 / $1,999.29 / $1,999.29	Professional		$1,999.29	$1,999.29	$1,999.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.21 / $204.24 / $367.48	Facility		$160.21	$204.24	$367.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $250.92 / $295.20	Professional		$188.60	$250.92	$295.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $332.50 / $419.00	Professional		$291.00	$332.50	$419.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.50 / $207.70 / $387.11	Facility		$160.50	$207.70	$387.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $242.66 / $421.68	Professional		$178.21	$242.66	$421.68
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 $140.35 / $188.34 / $301.26	Professional		$140.35	$188.34	$301.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $162.49 / $218.94	Professional		$139.97	$162.49	$218.94