Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.31 / $1,324.00 / $2,576.00	Facility		$274.31	$1,324.00	$2,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $274.31 / $525.00	Professional		$194.20	$274.31	$525.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.02 / $478.20 / $807.06	Facility		$195.02	$478.20	$807.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.35 / $187.60 / $270.52	Professional		$116.35	$187.60	$270.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $187.35 / $187.35 / $218.54	Facility		$187.35	$187.35	$218.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.58 / $385.75 / $1,626.05	Facility		$149.58	$385.75	$1,626.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.49 / $244.87 / $452.74	Professional		$166.49	$244.87	$452.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.78 / $2,647.01 / $2,647.01	Facility		$422.78	$2,647.01	$2,647.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.26 / $1,349.26 / $1,679.10	Professional		$1,349.26	$1,349.26	$1,679.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $250.00 / $535.41	Facility		$188.00	$250.00	$535.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $322.91 / $477.40	Professional		$244.63	$322.91	$477.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $222.44 / $425.47	Professional		$125.45	$222.44	$425.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $257.91 / $550.00	Facility		$188.00	$257.91	$550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $273.39 / $563.36	Professional		$174.00	$273.39	$563.36
United Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $233.14 / $441.75	Professional		$186.51	$233.14	$441.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.02 / $188.19 / $265.73	Professional		$167.02	$188.19	$265.73