Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $570.24 / $2,143.50	Facility		$264.00	$570.24	$2,143.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.19 / $290.39 / $506.00	Professional		$218.19	$290.39	$506.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $233.20 / $391.60	Professional		$5.00	$233.20	$391.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $440.00 / $440.00	Facility		$80.00	$440.00	$440.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $795.08 / $1,873.02	Facility		$121.96	$795.08	$1,873.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $336.08 / $692.48	Professional		$195.98	$336.08	$692.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $2,090.00 / $2,090.00	Facility		$704.00	$2,090.00	$2,090.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $3,300.00	Professional		$2,200.00	$2,200.00	$3,300.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.60 / $440.00 / $660.00	Facility		$248.60	$440.00	$660.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $440.00 / $550.00	Professional		$418.00	$440.00	$550.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $528.00 / $990.00	Professional		$286.00	$528.00	$990.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.99 / $462.00 / $1,328.98	Facility		$207.99	$462.00	$1,328.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.54 / $484.00 / $692.48	Professional		$185.54	$484.00	$692.48
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $184.80 / $264.00	Professional		$74.20	$184.80	$264.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.60 / $440.00 / $594.00	Professional		$171.60	$440.00	$594.00