Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $2,474.00 / $7,078.00	Facility		$262.99	$2,474.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $210.15 / $291.93	Professional		$180.05	$210.15	$291.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.97 / $2,939.47 / $6,166.00	Facility		$1,682.97	$2,939.47	$6,166.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $216.01 / $333.94	Professional		$169.24	$216.01	$333.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $166.13 / $166.13 / $166.13	Facility		$166.13	$166.13	$166.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.21 / $263.43 / $425.29	Professional		$198.21	$263.43	$425.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.00 / $16,394.00 / $16,394.00	Facility		$1,065.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.76 / $1,944.45 / $2,323.59	Professional		$1,357.76	$1,944.45	$2,323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.05 / $252.59 / $456.88	Facility		$191.05	$252.59	$456.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.90 / $299.41 / $374.96	Professional		$235.90	$299.41	$374.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $409.40 / $409.40 / $409.40	Professional		$409.40	$409.40	$409.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.05 / $254.65 / $511.05	Facility		$191.05	$254.65	$511.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $272.11 / $443.59	Professional		$201.00	$272.11	$443.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.66 / $237.40 / $366.89	Professional		$172.66	$237.40	$366.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $202.30 / $281.52	Professional		$177.79	$202.30	$281.52