Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $3,682.00 / $10,893.00	Facility		$649.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.21 / $170.27 / $241.25	Professional		$123.21	$170.27	$241.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $223.06 / $314.92	Professional		$160.69	$223.06	$314.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $160.04 / $160.04 / $160.04	Facility		$160.04	$160.04	$160.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.92 / $243.92 / $243.92	Facility		$243.92	$243.92	$243.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.48 / $241.52 / $349.30	Professional		$194.48	$241.52	$349.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $408.33 / $837.16 / $869.82	Facility		$408.33	$837.16	$869.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.03 / $1,148.03 / $1,574.55	Professional		$1,148.03	$1,148.03	$1,574.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.21 / $218.74 / $364.92	Facility		$173.21	$218.74	$364.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $232.54 / $268.32 / $313.04	Professional		$232.54	$268.32	$313.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $284.50 / $284.50 / $284.50	Professional		$284.50	$284.50	$284.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.21 / $220.84 / $420.95	Facility		$173.21	$220.84	$420.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.30 / $245.67 / $391.58	Professional		$191.30	$245.67	$391.58
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.34 / $200.21 / $327.58	Professional		$153.34	$200.21	$327.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $174.99 / $239.19	Professional		$152.66	$174.99	$239.19