Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.89 / $3,445.00 / $10,836.00	Facility		$367.89	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.55 / $382.06 / $637.97	Professional		$324.55	$382.06	$637.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.99 / $184.63 / $710.65	Facility		$107.99	$184.63	$710.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.81 / $425.05 / $610.30	Professional		$335.81	$425.05	$610.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $346.19 / $381.12 / $381.12	Facility		$346.19	$381.12	$381.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.67 / $613.67 / $613.67	Facility		$613.67	$613.67	$613.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.61 / $476.81 / $731.22	Professional		$357.61	$476.81	$731.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,903.37	Facility		$55.00	$55.00	$1,903.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,663.60 / $3,029.60 / $3,515.78	Professional		$2,663.60	$3,029.60	$3,515.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.61 / $437.80 / $693.36	Facility		$336.61	$437.80	$693.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.50 / $564.26 / $719.43	Professional		$463.50	$564.26	$719.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $418.10 / $609.74 / $906.77	Professional		$418.10	$609.74	$906.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.61 / $441.76 / $722.16	Facility		$336.61	$441.76	$722.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.90 / $507.10 / $783.75	Professional		$365.90	$507.10	$783.75
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $919.00 / $2,287.00	Facility		$161.00	$919.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $412.65 / $629.52	Professional		$298.82	$412.65	$629.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.98 / $387.55 / $544.44	Professional		$343.98	$387.55	$544.44