Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.79 / $2,107.00 / $6,762.00	Facility		$261.79	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $187.20 / $261.79	Professional		$161.03	$187.20	$261.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.91 / $124.52 / $501.35	Facility		$72.91	$124.52	$501.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $196.27 / $301.55	Professional		$153.77	$196.27	$301.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $145.85 / $145.85 / $145.85	Facility		$145.85	$145.85	$145.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $119.79 / $119.79	Facility		$119.79	$119.79	$119.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.23 / $234.90 / $380.00	Professional		$178.23	$234.90	$380.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $971.70	Facility		$55.00	$55.00	$971.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.32 / $1,615.05 / $2,040.97	Professional		$1,202.32	$1,615.05	$2,040.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.26 / $222.00 / $432.87	Facility		$163.26	$222.00	$432.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.94 / $269.00 / $334.21	Professional		$211.94	$269.00	$334.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.30 / $406.30 / $406.30	Professional		$406.30	$406.30	$406.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.50 / $224.31 / $457.07	Facility		$162.50	$224.31	$457.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.69 / $243.56 / $400.79	Professional		$179.69	$243.56	$400.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,226.00 / $7,600.00	Facility		$1,154.00	$3,226.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $213.58 / $344.05	Professional		$155.33	$213.58	$344.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.46 / $180.05 / $250.16	Professional		$158.46	$180.05	$250.16