Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.43 / $2,124.00 / $7,316.00	Facility		$459.43	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.73 / $419.42 / $618.62	Professional		$322.73	$419.42	$618.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.97 / $322.99 / $1,243.31	Facility		$185.97	$322.99	$1,243.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.30 / $422.19 / $590.02	Professional		$332.30	$422.19	$590.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $310.72 / $310.72 / $398.58	Facility		$310.72	$310.72	$398.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.05 / $254.05 / $262.35	Facility		$254.05	$254.05	$262.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.71 / $456.14 / $688.84	Professional		$354.71	$456.14	$688.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,527.14	Facility		$55.00	$55.00	$2,527.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,684.80 / $2,896.64 / $3,206.70	Professional		$2,684.80	$2,896.64	$3,206.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.76 / $435.25 / $664.58	Facility		$321.76	$435.25	$664.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.46 / $535.16 / $637.33	Professional		$392.46	$535.16	$637.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.02 / $386.57 / $581.12	Professional		$334.02	$386.57	$581.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $437.63 / $679.18	Facility		$311.04	$437.63	$679.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.96 / $475.14 / $717.23	Professional		$355.96	$475.14	$717.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.44 / $392.77 / $581.51	Professional		$298.44	$392.77	$581.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.97 / $362.71 / $508.28	Professional		$319.97	$362.71	$508.28