Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $2,124.00 / $7,316.00	Facility		$352.00	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $267.44 / $437.99	Professional		$133.76	$267.44	$437.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $280.52 / $497.94	Professional		$138.05	$280.52	$497.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.91 / $131.91 / $341.51	Facility		$131.91	$131.91	$341.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $243.65 / $243.65	Facility		$243.65	$243.65	$243.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $308.48 / $548.00	Professional		$166.37	$308.48	$548.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $828.85 / $1,500.00	Facility		$55.00	$828.85	$1,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.94 / $2,343.06 / $2,528.55	Professional		$1,163.94	$2,343.06	$2,528.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.96 / $291.85 / $491.04	Facility		$138.96	$291.85	$491.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $367.54 / $590.04	Professional		$178.71	$367.54	$590.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $353.69 / $628.40	Professional		$159.32	$353.69	$628.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $292.58 / $495.14	Facility		$139.00	$292.58	$495.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.59 / $343.45 / $664.81	Professional		$178.59	$343.45	$664.81
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,287.00	Facility		$161.00	$950.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.88 / $357.76 / $585.91	Professional		$267.88	$357.76	$585.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.95 / $282.95 / $398.87	Professional		$250.95	$282.95	$398.87