Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.75 / $2,107.00 / $6,762.00	Facility		$338.75	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.55 / $336.77 / $586.73	Professional		$248.55	$336.77	$586.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.69 / $278.12 / $1,734.11	Facility		$154.69	$278.12	$1,734.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.12 / $291.02 / $421.38	Professional		$231.12	$291.02	$421.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $210.59 / $210.59 / $301.39	Facility		$210.59	$210.59	$301.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.70 / $198.70 / $205.20	Facility		$198.70	$198.70	$205.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $368.01 / $886.90	Professional		$262.70	$368.01	$886.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,020.97 / $12,000.00 / $12,000.00	Facility		$2,020.97	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,160.00 / $3,527.39 / $3,643.79	Professional		$3,160.00	$3,527.39	$3,643.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $255.94 / $488.37 / $959.15	Facility		$255.94	$488.37	$959.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.99 / $368.78 / $482.26	Professional		$268.99	$368.78	$482.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.22 / $305.93 / $522.12	Professional		$237.22	$305.93	$522.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.50 / $497.23 / $1,000.65	Facility		$253.50	$497.23	$1,000.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.86 / $386.07 / $879.75	Professional		$275.86	$386.07	$879.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.47 / $366.55 / $708.48	Professional		$225.47	$366.55	$708.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.11 / $274.20 / $384.67	Professional		$242.11	$274.20	$384.67