Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,124.00 / $7,316.00	Facility		$405.00	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $284.01 / $511.05	Professional		$165.90	$284.01	$511.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.74 / $368.66 / $1,504.11	Facility		$218.74	$368.66	$1,504.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $297.11 / $484.58	Professional		$151.30	$297.11	$484.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $138.07 / $333.79	Facility		$138.07	$138.07	$333.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.50 / $285.50 / $294.83	Facility		$285.50	$285.50	$294.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.99 / $321.67 / $517.34	Professional		$171.99	$321.67	$517.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,134.66	Facility		$55.00	$55.00	$1,134.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.08 / $2,707.65 / $3,192.34	Professional		$1,208.08	$2,707.65	$3,192.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $313.56 / $511.45	Facility		$160.22	$313.56	$511.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.13 / $272.20 / $533.39	Professional		$176.13	$272.20	$533.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $367.25 / $775.19	Professional		$158.19	$367.25	$775.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $313.56 / $530.50	Facility		$160.22	$313.56	$530.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $323.49 / $534.70	Professional		$175.05	$323.49	$534.70
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,287.00	Facility		$371.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.06 / $334.44 / $501.38	Professional		$251.06	$334.44	$501.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $300.62 / $425.93	Professional		$267.77	$300.62	$425.93