Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.46 / $3,570.00 / $10,893.00	Facility		$354.46	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $241.44 / $356.73	Professional		$213.64	$241.44	$356.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $271.62 / $378.33	Professional		$214.54	$271.62	$378.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $207.09 / $207.09 / $217.20	Facility		$207.09	$207.09	$217.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $2,024.00 / $4,619.00	Facility		$267.61	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.54 / $315.98 / $481.66	Professional		$241.54	$315.98	$481.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,100.39	Facility		$55.00	$55.00	$1,100.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,660.13 / $1,675.20 / $2,008.35	Professional		$1,660.13	$1,675.20	$2,008.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.54 / $283.04 / $523.89	Facility		$221.54	$283.04	$523.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.76 / $346.93 / $408.15	Professional		$260.76	$346.93	$408.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.20 / $407.90 / $582.00	Professional		$245.20	$407.90	$582.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.79 / $287.16 / $537.27	Facility		$222.79	$287.16	$537.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.27 / $335.87 / $585.41	Professional		$249.27	$335.87	$585.41
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 $192.30 / $259.97 / $406.58	Professional		$192.30	$259.97	$406.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $224.69 / $302.76	Professional		$193.52	$224.69	$302.76