Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.20 / $560.64 / $1,571.20	Facility		$211.20	$560.64	$1,571.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $224.00 / $384.00	Professional		$179.20	$224.00	$384.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $176.00	Professional		$5.00	$5.50	$176.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $320.00 / $320.00	Facility		$80.00	$320.00	$320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.16 / $698.31 / $1,425.29	Facility		$213.16	$698.31	$1,425.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $303.89 / $503.97	Professional		$162.12	$303.89	$503.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,520.00 / $1,520.00	Facility		$512.00	$1,520.00	$1,520.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $1,600.00 / $2,400.00	Professional		$1,600.00	$1,600.00	$2,400.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.20 / $320.00 / $480.00	Facility		$195.20	$320.00	$480.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $400.00	Professional		$320.00	$320.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $384.00 / $720.00	Professional		$208.00	$384.00	$720.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.36 / $343.20 / $1,072.00	Facility		$217.36	$343.20	$1,072.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $368.00 / $503.97	Professional		$163.26	$368.00	$503.97
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $134.40 / $320.00	Professional		$134.40	$134.40	$320.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $320.00	Professional		$128.00	$128.00	$320.00