Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.92 / $2,124.00 / $6,762.00	Facility		$265.92	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $201.03 / $306.83	Professional		$146.97	$201.03	$306.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.16 / $210.21 / $819.41	Facility		$119.16	$210.21	$819.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $205.64 / $342.66	Professional		$148.82	$205.64	$342.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Facility		$142.63	$142.63	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $189.44 / $189.44	Facility		$189.44	$189.44	$189.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.42 / $245.61 / $410.61	Professional		$173.42	$245.61	$410.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,114.44	Facility		$55.00	$55.00	$1,114.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,573.84 / $1,844.78	Professional		$1,235.00	$1,573.84	$1,844.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.34 / $230.72 / $425.02	Facility		$161.34	$230.72	$425.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.05 / $276.27 / $382.54	Professional		$206.05	$276.27	$382.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.60 / $236.60 / $236.60	Professional		$236.60	$236.60	$236.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.62 / $234.84 / $425.02	Facility		$163.62	$234.84	$425.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $254.87 / $438.17	Professional		$175.71	$254.87	$438.17
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.36 / $243.01 / $397.47	Professional		$175.36	$243.01	$397.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.38 / $204.55 / $287.42	Professional		$181.38	$204.55	$287.42