Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.74 / $2,107.00 / $7,542.00	Facility		$498.74	$2,107.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.32 / $498.74 / $826.37	Professional		$369.32	$498.74	$826.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.38 / $484.82 / $1,845.00	Facility		$281.38	$484.82	$1,845.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.06 / $515.03 / $760.65	Professional		$374.06	$515.03	$760.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $362.08 / $366.65	Facility		$80.00	$362.08	$366.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.08 / $680.08 / $680.08	Facility		$680.08	$680.08	$680.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.75 / $613.66 / $967.55	Professional		$431.75	$613.66	$967.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,840.82	Facility		$55.00	$55.00	$2,840.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.92 / $3,838.48 / $4,528.64	Professional		$2,919.92	$3,838.48	$4,528.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $402.30 / $550.91 / $882.45	Facility		$402.30	$550.91	$882.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $514.28 / $692.30 / $936.23	Professional		$514.28	$692.30	$936.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.70 / $1,235.70 / $1,235.70	Professional		$1,235.70	$1,235.70	$1,235.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $402.30 / $551.84 / $903.26	Facility		$402.30	$551.84	$903.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.02 / $647.55 / $1,042.32	Professional		$438.02	$647.55	$1,042.32
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.21 / $567.16 / $880.38	Professional		$414.21	$567.16	$880.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $443.92 / $500.83 / $702.65	Professional		$443.92	$500.83	$702.65