Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.61 / $2,128.00 / $6,762.00	Facility		$330.61	$2,128.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.55 / $241.36 / $349.48	Professional		$193.55	$241.36	$349.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $269.66 / $421.76	Professional		$202.75	$269.66	$421.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.12 / $183.12 / $183.12	Facility		$183.12	$183.12	$183.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.09 / $234.09 / $234.09	Facility		$234.09	$234.09	$234.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.09 / $313.08 / $497.76	Professional		$226.09	$313.08	$497.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.54 / $12,000.00 / $12,000.00	Facility		$1,674.54	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,100.00 / $3,100.00 / $3,100.00	Professional		$3,100.00	$3,100.00	$3,100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.75 / $300.81 / $598.82	Facility		$216.75	$300.81	$598.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.60 / $338.38 / $437.57	Professional		$266.60	$338.38	$437.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $349.50 / $349.50	Professional		$349.50	$349.50	$349.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.21 / $303.58 / $670.58	Facility		$220.21	$303.58	$670.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.72 / $323.83 / $549.58	Professional		$226.72	$323.83	$549.58
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,078.00 / $2,827.00	Facility		$161.00	$1,078.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.63 / $279.49 / $449.72	Professional		$211.63	$279.49	$449.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $242.86 / $337.00	Professional		$213.40	$242.86	$337.00