Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $2,514.00 / $7,495.00	Facility		$546.00	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.99 / $403.93 / $595.03	Professional		$255.99	$403.93	$595.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.45 / $511.22 / $1,140.65	Facility		$286.45	$511.22	$1,140.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.62 / $462.62 / $667.18	Professional		$293.62	$462.62	$667.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $304.25 / $304.25 / $537.11	Facility		$304.25	$304.25	$537.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.70 / $503.60 / $755.40	Professional		$332.70	$503.60	$755.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,168.58 / $16,394.00 / $16,394.00	Facility		$2,168.58	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,262.40 / $3,548.40 / $4,276.95	Professional		$2,262.40	$3,548.40	$4,276.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.82 / $461.20 / $677.23	Facility		$297.82	$461.20	$677.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.78 / $607.71 / $904.28	Professional		$389.78	$607.71	$904.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.12 / $512.94 / $708.91	Professional		$332.12	$512.94	$708.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.82 / $461.20 / $680.31	Facility		$297.82	$461.20	$680.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.58 / $525.91 / $883.31	Professional		$340.58	$525.91	$883.31
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,571.00	Facility		$371.00	$1,529.00	$3,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.09 / $506.28 / $728.79	Professional		$374.09	$506.28	$728.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $414.93 / $466.69 / $653.37	Professional		$414.93	$466.69	$653.37