Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.83 / $2,068.00 / $6,762.00	Facility		$402.83	$2,068.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.96 / $320.33 / $511.93	Professional		$241.96	$320.33	$511.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.94 / $433.15 / $966.47	Facility		$240.94	$433.15	$966.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $453.06 / $649.73	Professional		$295.00	$453.06	$649.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $269.04 / $269.04 / $269.04	Facility		$269.04	$269.04	$269.04
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 $307.27 / $446.45 / $707.75	Professional		$307.27	$446.45	$707.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,405.19	Facility		$55.00	$55.00	$2,405.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.67 / $2,779.44 / $3,443.78	Professional		$2,137.67	$2,779.44	$3,443.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.11 / $446.57 / $859.67	Facility		$299.11	$446.57	$859.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.81 / $502.92 / $677.01	Professional		$389.81	$502.92	$677.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $557.00 / $557.00 / $557.00	Professional		$557.00	$557.00	$557.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.89 / $449.21 / $859.67	Facility		$301.89	$449.21	$859.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.49 / $469.49 / $775.97	Professional		$320.49	$469.49	$775.97
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $931.00 / $2,290.00	Facility		$157.00	$931.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.52 / $440.33 / $712.91	Professional		$314.52	$440.33	$712.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $330.17 / $374.34 / $517.80	Professional		$330.17	$374.34	$517.80