Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.76 / $2,500.00 / $7,495.00	Facility		$528.76	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.65 / $359.38 / $576.62	Professional		$240.65	$359.38	$576.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.38 / $790.26 / $1,754.48	Facility		$437.38	$790.26	$1,754.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.94 / $399.83 / $576.63	Professional		$257.94	$399.83	$576.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $263.37 / $263.37 / $463.43	Facility		$263.37	$263.37	$463.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.69 / $445.31 / $655.25	Professional		$295.69	$445.31	$655.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,928.94 / $16,394.00 / $16,394.00	Facility		$1,928.94	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.68 / $3,106.48 / $3,695.70	Professional		$2,025.68	$3,106.48	$3,695.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.16 / $401.45 / $597.97	Facility		$265.16	$401.45	$597.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.02 / $513.80 / $760.99	Professional		$324.02	$513.80	$760.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $290.16 / $443.67 / $614.27	Professional		$290.16	$443.67	$614.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.16 / $401.45 / $600.01	Facility		$265.16	$401.45	$600.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $458.68 / $751.15	Professional		$304.79	$458.68	$751.15
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.01 / $445.35 / $645.76	Professional		$334.01	$445.35	$645.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.82 / $406.74 / $569.44	Professional		$360.82	$406.74	$569.44