Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.64 / $3,445.00 / $10,836.00	Facility		$398.64	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $398.64 / $579.74	Professional		$301.50	$398.64	$579.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.31 / $251.86 / $988.07	Facility		$145.31	$251.86	$988.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.51 / $411.17 / $714.06	Professional		$298.51	$411.17	$714.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $299.45 / $299.45 / $427.83	Facility		$299.45	$299.45	$427.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.76 / $496.58 / $770.38	Professional		$362.76	$496.58	$770.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,848.46	Facility		$55.00	$55.00	$1,848.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,621.04 / $3,286.72 / $3,804.53	Professional		$2,621.04	$3,286.72	$3,804.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $442.52 / $663.78	Facility		$330.98	$442.52	$663.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $438.30 / $600.29 / $820.04	Professional		$438.30	$600.29	$820.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.66 / $502.33 / $1,027.48	Professional		$345.66	$502.33	$1,027.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $442.02 / $678.83	Facility		$330.98	$442.02	$678.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.95 / $507.28 / $832.26	Professional		$378.95	$507.28	$832.26
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 $374.21 / $487.76 / $724.57	Professional		$374.21	$487.76	$724.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.28 / $424.31 / $594.03	Professional		$376.28	$424.31	$594.03